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Patient Forms

At Eason Eye Care, we appreciate your interest in visiting our office. As a new patient, paperwork will be required when you either come in to make an appointment or when you come in for the appointment itself. If you would like to come by at anytime and fill out the required paperwork or take it with you, please feel free to do so. 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.

  • 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

New Patient Health History Form – 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 your have regarding your eye health or vision on the form.

Download and Print the forms below.

Welcome Form and Medical History

Privacy Practices Acknowledgement Form