At Dau Family Eye Care, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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Download the necessary form(s) and fill in the required information.
Fax or email us your completed form(s) or bring them with you to your appointment.
Pay Online
ONLINE FORMNotice of Patient Privacy Rights, Protection & Responsibilities
ONLINE FORMNew Patient Questionnaire
ONLINE FORMBinocular Vision Dysfunction Questionnaire
PDF FILEBVDQ Child Marketing Version
PDF FILEBVDQ Youth Marketing Version
PDF FILEBVDQ Adult Marketing Version