After making your appointment at Alice Family Eye Center, print and fill out this simple medical history form to expedite your registration process upon your arrival. Save time now and fill this out in the comfort of your home or office. Remember to bring your insurance cards with you, both vision insurance and medical insurance and your eyeglasses and/or contact lens boxes. Thank You.

Enclosed is a copy of our privacy practices. Please review and acknowledge receipt by printing out page 2, sign the bottom of the form, and bring the signed form to your appointment.

Please take a moment to read some simple instructions before your scheduled appointment. Thank You.