Lee R. Moore Jr. O.D.
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Patient Forms


Patient Medical Forms
File Size: 336 kb
File Type: pdf
Download File

For quicker service, please use our new, convenient online Patient Medical form (listed above).
HIPPA Privacy Form
File Size: 134 kb
File Type: pdf
Download File

If you are a new patient please browse over our privacy practices (link listed at the bottom right hand corner of the page) and sign our HIPPA Privacy form (listed above).
Contact Us
311 Prospect Avenue
Charles Town, WV 25414
Phone: 304-725-1411

Email: leemoorejr@frontiernet.net
Office Hours
Mon    9:00 am - 5:00 pm
Tue     11:00 am - 7:00 pm
Wed    9:00 am - 5:00 pm
Thu     9:00 am - 5:00 pm
Fri       9:00 am - 5:00 pm
Sat      closed
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​Notice of Privacy Practices
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  • Home
  • Location
  • Our Practice
  • Our Services
  • Patient Forms
  • Our Frame Selection
  • Eye Care Articles
  • MedScape-WebMD