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<!DOCTYPE HTML>
<!--
Created by Jessica Ciarelli
jciarelli@gmail.com
2015
-->
<html>
<head>
<title>MDEyeDocs.com</title>
<link rel="stylesheet" href="stylesheet.css">
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/font-awesome/4.4.0/css/font-awesome.min.css">
<link href='https://fonts.googleapis.com/css?family=Roboto|Open+Sans' rel='stylesheet' type='text/css'>
<meta charset='utf-8'>
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
</head>
<body>
<div class="header">
<ul id="nav">
<li class="logo"><a href="http://www.jessicaciarel.li/mdeyedocs"><img src="http://www.jessicaciarel.li/mdeyedocs/images/logo.png"></a></li>
<li class='dropdown'><a href='doctors.html'>Physicians</a>
<ul class="drop-nav">
<li><a href='berg.html'>Bruce R. Berg, M.D.</a></li>
<li><a href='talansky.html'>Marvin L. Talansky, M.D.</a></li>
<li><a href='turtel.html'>Lawrence S. Turtel, M.D.</a></li>
<li><a href='pardon.html'>Ilene B. Pardon, M.D.</a></li>
<li><a href='chiang.html'>Peter K. Chiang, M.D.</a></li>
<li><a href='schulman.html'>Heidi A. Schulman, O.D</a></li>
</ul>
</li>
<li class='dropdown'><a href='education.html'>Patient Education</a>
<ul class="drop-nav">
<li><a href='eyeexam.html'>Eye Exam Information</a></li>
<li><a href='contactlens.html'>Contact Lens Fitting</a></li>
<li><a href='treatment.html'>Medical Treatment</a></li>
<li><a href='laser.html'>Laser Vision Corrective Surgery</a></li>
<li><a href='cosmetic.html'>Cosmetic and Reconstructive Plastic Surgery</a></li>
<li><a href='cataract.html'>Cataract Surgery</a></li>
</ul>
</li>
<li><a href="forms.html">Forms</a></li>
<li><a href="insurance.html">Insurance</a></li>
<li><a href="shop.html">Optical Shop</a></li>
</ul>
</div> <!-- Ends header -->
<div class="jumbo-img">
<img src="http://www.jessicaciarel.li/mdeyedocs/images/eye_.jpg">
<div class="centered">
<h1>Monmouth and Ocean County's Premiere Ophthalmology Practice</h1>
<button><a href="tel:7329884000">Call us at 732-988-4000</a></button>
</div>
</div> <!-- Ends jumbo-img -->
<div id="content">
<div id="title">
<h1>Forms</h1>
</div>
<div id="opticalimg">
<img class="shopimg" src="http://www.jessicaciarel.li/mdeyedocs/images/sketch.jpg">
</div>
<p>Please open the PDFs below to print the forms you'll need for your next visit.
<ul class="forms">
<li><img src="http://www.jessicaciarel.li/mdeyedocs/images/Adobe_PDF_file_icon_24x24.png"> <a href="http://www.jessicaciarel.li/mdeyedocs/files/Pediatric Patient Information.pdf" target="_blank"> New Pediatric Patient Information</a></li>
<li><img src="http://www.jessicaciarel.li/mdeyedocs/images/Adobe_PDF_file_icon_24x24.png"> </i><a href="http://www.jessicaciarel.li/mdeyedocs/files/Patient Information form.pdf" target="_blank"> New Adult Patient Information</a></li>
<li><img src="http://www.jessicaciarel.li/mdeyedocs/images/Adobe_PDF_file_icon_24x24.png"> </i><a href="http://www.jessicaciarel.li/mdeyedocs/files/Financial Responsibility Form.pdf" target="_blank"> Financial Responsibility</a></li>
<li><img src="http://www.jessicaciarel.li/mdeyedocs/images/Adobe_PDF_file_icon_24x24.png"> </i><a href="http://www.jessicaciarel.li/mdeyedocs/files/Confidentiality Form.pdf" target="_blank"> Confidentiality</a></li>
</ul>
</p>
</div>
<div id="footer">
<h1>Visit us at any of our locations</h1>
<div class="locations">
<ul>
<li>
<h2>Ocean Township/Asbury Park</h2>
<p>333 Fairmont Ave</p>
<p>Wanamassa, NJ 07712</p>
</li>
<li>
<h2>Brick</h2>
<p>525 Route 70</p>
<p>Brick, NJ 08723</p>
</li>
<li>
<h2>Little Silver</h2>
<p>200 White Rd</p>
<p>Little Silver, NJ 07739</p>
</li>
<li>
<ul class="buttons">
<li><button><a href="tel:7329884000">Call us at 732-988-4000</a></button></li>
<li><button><a href="mailto:kciarelli@mdeyedocs.com">Email Us</a></button></li>
</ul>
</li>
</ul>
</div>
</div> <!-- End footer -->
</body>
</html>