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Online Forms

At Dr. Tufte's Eyes on 45th, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

HIPPA Agreeement

Online Patient History

Printable Patient History Form

Optomap Release Form

Patient Financial Information Sheet


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Contact Us

We look forward to hearing from you.

Location

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Hours of Operaton

Our Regular Schedule

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-5:00 pm

Thursday:

9:00 am-5:00 pm

Friday:

9:00 am-3:00 pm

Saturday:

Closed

Sunday:

Closed