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WELCOME TO BROADWAY EYE CARE CHECK IN/HIPPO/RELEASE OF INFORMATION PLEASE READ & SIGN BELOW Patient Name (print): Authorization:I authorize the release of medical information about me to my insurance
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How to fill out welcome to broadway eyecare

01
Start by visiting the Welcome to Broadway Eyecare website.
02
Look for the 'New Patient' or 'Patient Forms' section on the website.
03
Download the Welcome to Broadway Eyecare patient intake form.
04
Open the downloaded form using a PDF reader.
05
Fill out the required information on the form, such as your personal details, medical history, and insurance information.
06
Double-check all the information you have entered to ensure its accuracy.
07
Save the filled-out form on your device or print it out if necessary.
08
If you printed the form, bring it with you on your first visit to Welcome to Broadway Eyecare.
09
If you saved the form on your device, upload it to the Welcome to Broadway Eyecare website or bring it with you on a USB drive.
10
When you arrive at Welcome to Broadway Eyecare for your appointment, present the filled-out patient intake form to the receptionist or nurse.
11
They will review the information you provided and may ask clarifying questions if needed.
12
Once the form is submitted and reviewed, you will be ready to start your eye care journey with Welcome to Broadway Eyecare.

Who needs welcome to broadway eyecare?

01
Anyone who is a new patient at Welcome to Broadway Eyecare needs to fill out the 'Welcome to Broadway Eyecare patient intake form.'
02
This form is necessary for individuals who are seeking eye care services from Welcome to Broadway Eyecare for the first time.
03
Both adults and children may need to fill out this form, depending on their age and the services they require.
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Welcome to broadway eyecare is a vision care center that provides eye exams, glasses, and contact lens fittings.
All patients or customers who receive services from welcome to broadway eyecare are required to fill out necessary forms.
To fill out welcome to broadway eyecare forms, patients or customers need to provide their personal information and medical history.
The purpose of welcome to broadway eyecare is to gather necessary information to provide appropriate vision care services.
Information such as personal details, medical history, insurance information, and reason for visit must be reported on welcome to broadway eyecare forms.
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