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Baraboo & Wisconsin Dells
Eye Clinic
Offering Premium Eye Care Services to the
Baraboo Range and Wisconsin Dells Region
Baraboo (608) 356-6276
Wisconsin Dells (608) 253-4593
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Wisconsin Dells Eye Clinic
Baraboo Eye Clinic
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Home » Patient Medical Questionnaires & Consent Forms

Patient Medical Questionnaires & Consent Forms

Medical Questionnaire & Consent Forms
HIPPA
Patient Financial Responsibility
COVID 19 Office Rules
COVID 19 Risk Consent
Medicare Patient Standard of Care Contract for an Opt Out Medicare Provider
Signature Form Packet: Medicare Patient
Signature Form Packet: Non-Medicare
Online Sent Intake Form (who started but not completed)
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Dear Patients: Due to staffing shortages – the Wisconsin Dells office will have to be temporarily closed for Eye Exam appointments. Patients can still see Dr. Webb for Eye examinations but ONLY in the Baraboo office – Monday thru Friday.

* NOTE: Wisconsin Dells -Walmart Optical will still be open for glasses/contact lens purchases per their regular hours.