Kip Newell, O.D.
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Patient Forms

If you would like to complete the new patient paperwork on paper, please print out and complete the following forms
and bring them to your appointment with you.
​
Please also bring your insurance cards, prescription eyeglasses and/or contacts, and a list of any medications
to your appointment.
Medical History Form
HIPAA Acknowledgement

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Kip Newell, O.D.

131 W Wyandot Ave
Upper Sandusky,  OH  43351
[email protected]
​Fax (419) 209-0518
​
Order contact lenses online

​https://www.helloabby.com/patients
Hours
Monday: 8 am - 5 pm
Tuesday: 8 am - 5 pm
Wednesday: 8 am - 2 pm
Thursday: 8 am - 5 pm
Friday - by appointment only


Contact Us
419-209-0540

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