HANSON EYECARE AND OPTICAL
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patient  forms

Patient  Forms

Please fill out the following patient information forms and bring them with you to your first visit. Signing "Acknowledgment of Receipt of Privacy Practices" on the form signifies that you have read the Privacy Policy, listed below.

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hanson_patient_forms.pdf
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Hanson Eyecare and Optical

4600 Summerlin Rd
​Suite C4
​Ft. Myers, FL  33919

239-936-2121
Business Hours:
Monday:
Closed
Tuesday: 9AM - 5PM
Wednesday: 9AM - 5PM
Thursday: 9AM - 5PM
Friday: 9AM - 5PM
Saturday:  9AM- 3PM
​Sunday: Closed
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  • Home
  • About Us
  • Insurances We Accept
  • Patient Forms
  • Contact Us