Online Patient Forms
Save time during your appointment by completing our patient forms online.
Above, you'll see the login page. (If this is your first visit, we'll take a few seconds to help you create a login to our site).
Below are a few more forms that will need to be filled out and will answer any questions you may have about further testing, about insurance, contact lens fittings, and glasses warranties. These are forms that need to be signed.
Above, you'll see the login page. (If this is your first visit, we'll take a few seconds to help you create a login to our site).
Below are a few more forms that will need to be filled out and will answer any questions you may have about further testing, about insurance, contact lens fittings, and glasses warranties. These are forms that need to be signed.
Paper Forms
Though you can use our convenient online patient form above, you are welcome to download, print, and complete the forms below prior to your appointment. We look forward to seeing you!
| Wilda Eye Care Patient Information Form |
| Retina Health Informed Consent |
| Insurance Information, Assignment and Release Form |
| Notice of Privacy Practices |