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Request an Appointment

803-732-1942 Columbia
706-736-3937 Augusta

At Martinez Eye Associates, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

Augusta Office Patient Forms

Contact Lens Agreement Form

Cyclops Patient Form

Financial Responsibility Form

HIPAA Acknowledgement Form

Notice of Privacy Practice Form

Procedure Consent Form


Columbia Office Patient Forms

Contact Lens Agreement Form

Cyclops Patient Form

Financial Responsibility Form

HIPAA Acknowledgement Form

Notice of Privacy Practice Form

Procedure Consent Form


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