The Optical Shop & Dr. Michael E. Weigle
636-947-0207
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Patient Forms

Welcome Sheet
File Size: 99 kb
File Type: pdf
Download File

Health History Form
File Size: 915 kb
File Type: pdf
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HIPAA Acknowledgement
File Size: 32 kb
File Type: pdf
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HIPAA Form
File Size: 422 kb
File Type: pdf
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Dilation Form
File Size: 37 kb
File Type: pdf
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Retinal Screening Tests
File Size: 39 kb
File Type: pdf
Download File

Contact Us
2127 Bluestone, Suite 201
St. Charles, MO 63303
Phone: 636-947-0207
Fax: 636-947-5996
Email:  [email protected]
Office Hours
Mon    8:30 am - 5:00 pm
Tue     8:30 am - 5:00 pm
Wed    8:30 am - 5:00 pm
Thu     8:30 am - 5:00 pm
Fri          CLOSED
Sat         CLOSED
Notice of Privacy Practices
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