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Drs. Seipel and Dragon, Optometrists

Please print the form; complete it; and bring it with you the day of your appointment.   This will expedite your registration process with our front desk. Thank you.

Please print, read and sign our privacy policy. Remember to bring this form with you the day of your scheduled exam.

Please print and complete this form. Remember to bring this form with you the day of your scheduled exam.

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