At Alice Family Eye Center, 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.
After making your appointment at Alice Family Eye Center, print and fill out this simplemedical history form to expedite your registration process upon your arrival. Save timenow and fill this out in the comfort of your home or office. Remember to bring yourinsurance cards with you, both vision insurance and medical insurance and youreyeglasses and/or contact lens boxes.
Medical History Form
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.
Notice of Privacy Practices
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.
Things to know before your visit.
Please take a moment to read some simple instructions before your scheduled appointment. Thank You.