Dale F. Hardy, O.D. PC
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patient  forms

Patient Forms


Patient Information Form
File Size: 41 kb
File Type: pdf
Download File

Required for all patients each time you come to the office.
Medical/Eye History Form
File Size: 54 kb
File Type: pdf
Download File

This should be filled out by all new patients.
Contact Us
10372 S. Redwood Rd.
South Jordan, UT 84095
Phone: 801-253-1374

Office Hours
Mon    8:30 am - 5:00 pm
Tue     9:30 am - 6:00 pm
Wed    9:30 am - 7:00 pm
Thu     9:30 am - 6:00 pm
Fri       9:30 am - 5:00 pm
Sat      By appointment

Notice of Privacy Practices
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  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Eye Care Articles
  • Location