204 Gateway North, Suite A
Marble Falls, Texas 78654
Main Office:(830) 693-5868
Toll Free:(800) 552-8262

Home > Patient Resources

Patient Registration Forms

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Patient Registration Form Adobe PDF File Size 1 MB
Patient History Form Adobe PDF File Size 363 KB
Refraction Form Adobe PDF File Size 732 KB
Notice of Privacy Practices Adobe PDF File Size 1.3 MB
No Show Policy Adobe PDF File Size 392 KB
Medical Records Request Adobe PDF File Size 363 KB

 

Payment Policy

We accept Cash, Personal Checks, Care Credit, American Express, Mastercard, Visa and Discover. Full payment is due at time of service.

We accept cash We accept checks We accept Care Credit We accept American Express We accept Mastercard We accept Visa We accept Discover Card

 

Medical Condition Information

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Cataract Information Cataract Information Adobe PDF File Size 1.7 MB
Diabetic Retinopathy Information Diabetic Retinopathy Information Adobe PDF File Size 1.6 MB
Dry Eye Information Dry Eye Information Adobe PDF File Size 3.5 MB
Glaucoma Information Glaucoma Information Adobe PDF File Size 1.6 MB
Low Vision Information Low Vision Information Adobe PDF File Size 1.7 MB
Macular Degeneration Information Macular Degeneration Information Adobe PDF File Size 1.6 MB

204 Gateway North, Suite A, Marble Falls, TX 78654         © Copyright 2018, Mary Kelly Green, M.D., PLLC         Main: (800) 552-8262