Charles P. Hammer, OD - Patient Forms
Charles P. Hammer, OD
Patient Forms
The privacy form lets us know you understand your rights at our office. We will not share your personal information without your permission.
This form includes your basic information such as name and address. Also, we need your medical history since the diagnosis of many eye conditions and the use of medications may be dependent upon this information.

  These PDFs require a free plugin that may have come included with your browser. If you are having difficulties opening these files Click Here to go to Adobe's web site for Adobe's PDF reader.
Notice of Privacy Practices