1.800.EYECARE

Schedule An Appointment

1.800.EYECARE

Medical & Patient Forms

To expedite your visit, please bring in a completed copy of our medical and patient forms to your scheduled appointment.

English Forms:

pdf-icon Patient Information Form
pdf-icon Medical History Form
pdf-icon Patient Contact and PHI Information Form
pdf-icon Well Vision Form

En Español:

pdf-icon Información Para Pacientes
pdf-icon Historia Clinica
pdf-icon Información Para Pacientes Insurance y Contacto
pdf-icon Información Para el Examen de los Ojos Saludables

What our customers are saying:

The staff made me feel extremely comfortable and even though they see many patients, they never made my questions or anxiety feel silly. They answered all my questions and continue to. Overall a wonderful experience.

- Shandin

Great service. Would recommend. The staff were all very professional and provided A+ service.

- Ross S

I had no idea you had such a selection of great eyewear. The optometrist helped me find the pair that fit my face, my personality and highlighted my eyes – which, I’ve been told, are one of my best features!

- Mel P.