WILDA EYE CARE
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    • "In your own words" - Patient Testimonials
    • "In your own words" - Patient Testimonials
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    • Remodeled Office
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    • Eye Care Articles
  • Request an Appointment
    • Forms
  • Ocular Surface Disease Kit
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    • New frames in!
  • Presentations
  • Eclipse 2017

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.
Secure Online Forms

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
File Size: 276 kb
File Type: pdf
Download File

Retina Health Informed Consent
File Size: 356 kb
File Type: pdf
Download File

Insurance Information, Assignment and Release Form
File Size: 521 kb
File Type: pdf
Download File

Notice of Privacy Practices
File Size: 112 kb
File Type: pdf
Download File

  • Home
  • Doctors, Staff and Testimonials
    • "In your own words" - Patient Testimonials
    • "In your own words" - Patient Testimonials
  • Location
    • Remodeled Office
  • Services
    • Eye Care Articles
  • Request an Appointment
    • Forms
  • Ocular Surface Disease Kit
  • Promos
    • New frames in!
  • Presentations
  • Eclipse 2017