South East Eyecare
  James C. Staup, III O.D.
Dewanna K. Staup O.D., M.S.

   

Online Office Forms


 
The following forms are available online for your convenience. 
Simply click on the form name to view that online form.


Welcome Form (1326)
Payment Policy (1326)
Printable forms are available in PDF format.
If you don't have Adobe Acrobat installed, click on the link below to get the free Reader.

 

Please fill out all printable forms and bring them to the office with you.
 

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