Patient Forms

Picture of Eyecare Registration and Health History Form

Patient Forms

After you schedule your appointment click on the Health History Form below. After you download and print the form, bring the completed copy to the office on the day of your scheduled appointment. This will save you time in the waiting area. Please bring in your glasses that you use for different activities: sunglasses, reading glasses, driving glasses. Also bring in your contact lens boxes so we know what brands and power of contacts you wear. If you are choosing dilation, make sure you bring sunglasses, or a driver. Instead of dilation, we also offer retinal photography, for $24 as an option. If you have any questions, don't hesitate to give us a call.



Eyecare Registration and Health History Form