Patient Forms

Save time at your appointment by completing the forms you need before you arrive. Please download the appropriate form, fill it out completely, and bring it with you to Advanced Eyecare. If you have questions about which form applies to your visit, our team is happy to help. 

Patient Welcome Form

New patients can use this form to provide their contact details, health and insurance information, and other information we need to prepare for their visit. Completing it before your appointment helps our team check you in more efficiently and gives your eye doctor the information needed to provide personalized care.

Patient Welcome Form

Authorization for Release of Information to Family Members

Use this form if you would like Advanced Eyecare to share your medical and/or billing information with specific family members or other individuals. Your written authorization helps us protect your privacy while allowing the people you designate to communicate with our office when needed.

Authorization Form

Eye Disease Risk Analysis and Screening Form

This form provides information about optional preventive eye health screenings available during your annual exam, including imaging and dry eye screening options. These tests can help your eye doctor document your eye health, monitor changes over time, and identify potential concerns early.

Screening form

Need Help Before Your Visit?

Please bring your completed forms, current insurance cards, photo ID, and any relevant medical information to your appointment. Preparing for your eye exam can help make check-in and your visit go more smoothly. If you are unable to complete a form in advance or need assistance, our team can help when you arrive.