The information you supply via this appointment form
is considered strictly confidential and will never willingly
be shared with anyone without your explicit permission.
Some people are concerned about information on the Internet
being "hijacked" by hackers. This concern
may be valid not only for the Internet, but for any
communications by any method, be it wireless telephone,
a cell phone, a FAX machine or any other communications
device. Although this web page is protected by
128 bit encryption security, Quality Eye Care, P.C.
cannot guarantee the security of the information you
submit using this form as it pertains to electronic
transmittal. If you deem the information we ask
for to be sensitive, the only way to ensure its absolute
security is to discuss it with the doctor face-to-face.
We encourage you to do so by requesting an appointment