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New Patient Forms

Welcome to Healthy Eyes!

We look forward to being a part of your next eye care experience. If you are a new patient – or have not been to see us in 3 years or more – please complete the Intake Form below and bring it with you to your appointment.

Also, remember to bring any vision or health insurance cards, a list of the prescription and over-the-counter medications you take, and the glasses and/or contact lenses you are currently wearing.

Intake Form 2023

HIPAA Signature Page 2022

Additional Resources

For your convenience, we’ve listed even more resources and forms below.

Questions? Call or email us!