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Located inside the Walmart Vision Center
2121 Lincoln Street in Rhinelander
(715) 362-7795
Home » Contact Us » Online Patient Registration Form

Online Patient Registration Form

lock icon Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.

Announcement!

Free retirement location clipart clipartcow

Dr. Deede will be retiring on September 18, 2017.  

Please click HERE to download and print the Records Release Authorization

 for your new Eyecare Provider.