Online Forms

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At Family Eye Care, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.


General Forms

Patient Info – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.

Download & Print PDF Form

Download & Print DOCX Form

Patient Lifestyle Questionnaire

Download & Print PDF Form

Download & Print DOCX Form

Medical History

Download & Print PDF Form

Download & Print DOC Form


Download the Free AdobeReader®

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