Changmin Duan, O.D., P.A.

First Time Patient?

If yes, please fill out these 3 pages of information and bring them with you to the doctor's office. Also remember to bring your insurance card/s and referrals if applicable. This will save you waiting time.

是第一次到我们诊所看病吗?
如果是,请下载并填写好三张表格,一并带到我们诊所,这样会节省你等待的时间。第三张表格是HIPAA(Health Insurance Portability and Accountability Act), 是关于你授权我们可以用你的信息申报你的保险。请不要忘记带上你的医疗保险卡。如果你的保险需要转诊单,请让你的家庭医生提前开好。

If you need your medical records for other health care providers or personal use, please fill out this form to authorize its release. Please include the patient's and recipient's information.

If you are willing to participate in our OK lens treatment survey, please download the pdf file and fill out the survey. Then email it back to us.

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