Dr. Les Miller
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Forms

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PATIENT INFORMATION

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PHYSICIAN PATIENT ARBITRATION AGREEMENT

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PATIENT HISTORY

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AUTHORIZATION TO RELEASE PATIENT RECORDS

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NOTICE OF PRIVACY PRACTICES

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CONSENT TO TREAT MINOR

Contact

Dr. Les Miller | Optomeyes
1513 4th Street
Santa Monica, CA 90401
(310) 260-1000
[email protected]

We Accept

Cash, Checks, Debit Card

Office Hours

Mon Closed
Tue - Thu 9am - 5pm
Fri 9am - 3:30pm
Sat 9am - 1pm
Sun Closed

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