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Patient Forms

Downloadable patient forms that you can print and fill out before your next visit to Gillette Optometric Clinic in Gillette.

For your convenience, we have created the following pages to provide you with a list of the insurance carriers we accept at our Gillette optometric office, as well several downloadable forms to save you time at your next appointment.

Carecredit

apply

pay

Downloadable Forms

Financial Protocol [PDF]
New Patient Form  [PDF]
Notice of Privacy Practices [PDF]
Nondiscrimination Statement [PDF]
Medical Records Release  [PDF]

Locations

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Hours of Operation

Our Regular Schedule

Wyoming Office

Monday:

7:00 am-6:00 pm

Tuesday:

7:00 am-6:00 pm

Wednesday:

7:00 am-6:00 pm

Thursday:

7:00 am-6:00 pm

Friday:

7:00 am-6:00 pm

Saturday:

Closed

Sunday:

Closed