(210) 737-1926

Jackson and Lujan Eye Care
Jackson and Lujan Eye Care
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    • Home
    • Location & Hours
    • Services
    • Glasses & Contacts
    • Insurance & Payment
    • Forms
    • About Us

(210) 737-1926

  • Home
  • Location & Hours
  • Services
  • Glasses & Contacts
  • Insurance & Payment
  • Forms
  • About Us

Forms to Download

To expedite your wait time, please print, complete, and bring these forms for each family member who needs an exam. 

Patient sign in form (doc)Download
Información del paciente (doc)Download
HIPAA consent form and procedures (doc)Download
HIPPA Español / procedimientos (doc)Download
Sensory and speech impairment policy (pdf)Download
Notification of language assistance (pdf)Download
Limited English proficiency policy (pdf)Download
Non discrimination policy (pdf)Download

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