Monday - Friday 8:00AM - 5:00PM
4025 Jackie Rd. SE // Rio Rancho, NM 87124
Call or Text: (505) 892-8411
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  • Home
  • About Us
    • Hours & Directions
    • Mission
    • Our Founders
    • Our Doctors
    • FAQs
    • Forms
  • Services
    • Exams
    • Medical Eye Care
    • Urgent Care
    • Eye Allergies & Treatment
    • Insurances
    • Care Credit Benefits
  • Frames Catalog
  • COVID-19
  • Reviews
  • Online Bill Pay
  • Contact Us
    • Request an Appointment
    • Submit Feedback
    • Hours & Directions
    • Patient Forms
4025 Jackie Rd. SE Rio Rancho, NM 87124
505-892-8411
Monday - Friday 8:00AM - 5:00PM
4025 Jackie Rd. SE // Rio Rancho, NM 87124
Call or Text: (505) 892-8411

Patient Forms

HomePatient Forms

Printable Forms

Here you will find printable PDFs for your convenience:

New Patients

  • Patient Intake Form
  • Consent to Medical Treatment of Unattended Minors

Office Policy

  • City of Vision Cancellation & No-Show Policy
  • Privacy Policy
  • Patient Rights & Responsiblities Statement

Other Forms

  • COV Patient Records Request
  • Authorization to Discuss Medical Care
  • Authorization of Patient Information Release

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We believe in complete and full ocular health examinations to evaluate major components of your vision.

Quick Menu

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  • Meet our Doctors

Practicing Doctors

  • Dr. Tracy Ho, OD
  • Dr. Lisa M. Harrison, OD FAAO
  • Dr. Lauren Roverse, OD

 

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Contacts

  • Address 4025 Jackie Rd. SE
    Rio Rancho, NM 87124

  • Phone 505-892-8411

  • Email cov@swcp.com

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