Online Forms

At EyeCare Focus & Specialties, 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. Click here to download.
  • 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.

Click Here to Request an Appointment

Electronic Health Records

Access Secure Patient Forms


Registration Form (New Patient)

Download & Print Form


Registration Form (Previous Patient)

Download & Print Form


Medical History Questionnaire

Download & Print Form


Elective Optomap Consent Form

Download & Print Form


Privacy Policy Information

Download & Print Form


Download the Free AdobeReader®

New Patients Requesting Appointment

Location

Find us on the map

Office Hours

Monday:

8:50am - 12:30pm

1:30pm - 5:00pm

Tuesday:

8:50am - 12:30pm

1:30pm - 5:00pm

Wednesday:

8:50am - 12:30pm

1:30pm - 5:00pm

Thursday:

8:50am - 12:30pm

1:30pm - 5:00pm

Friday:

Closed

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed