Ophthalmology Redding Shasta Eye Medical Group | Redding Ophthalmologists Redding Eye Care Redding Eye Exam | Glaucoma Treatment | Redding Shasta Eye Medical Group: 3190 Churn Creek Road | Redding, CA 96002 | Tel: 530-223-2500 Ophthalmology Consultation Redding
Patient Information

The following forms can be downloaded to your computer and printed at home. By filling out these forms, ahead of time, you will save significant time at the time of your visit. If you have any questions when filling out these forms, please do the best you can; our staff will assist you with your questions on the day of your visit.

If you already have a copy of Adobe Acrobat Reader, then you may download a form immediately by clicking on the name of the form below. The PDF file sizes are relatively small and will take only a few minutes to download, depending upon your modem and connection speed. When the file transfer is complete, just click on the filename to launch Acrobat Reader, open the form and print it.

If you do not have a copy of Acrobat Reader, you can get one for free by clicking on the icon 'Get Adobe® Reader'. This will take you to Adobe's website and enable you to download the Acrobat program to your computer.

For your initial visit, please print and fill out the following forms:

Patient Registration Information     Medical History Questionnaire    Notice of Privacy Practices


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Physicians: Dr. Crum   Dr. Silverstein  Dr. Lin   Dr. Trent

Ophthalmologists Dr. Bryan Crum, Dr. Christopher Lin, Dr. Bruce Silverstein, and Dr. Robert G. Trent, serving Redding and all surrounding areas.

Shasta Eye Medical Group:
3190 Churn Creek Road | Redding, CA 96002 | Tel: 530-223-2500
900 Butte Street | Redding, CA 96001 | Tel: 530-223-2500

www.shastaeye.com

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