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:

From day one, everyone has been wonderful and friendly. I would absolutely recommend all of my friends and family to come here. Thank you all so much.

- Shauna M

I am very happy with the result. The process was quick and Dr. Peters was very helpful in answering all of my questions.

- Doug N

Very happy with surgery. Very little pain. Will be happy to refer my family and friends. Staff at laser center was very friendly and professional.

- Sean H