Online Forms

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Online Forms

At Legacy Eye Care, 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.
  • 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.

Medical Questionnaire

Download & Print Form

Patient Registration Form

Download & Print Form

HIPPA Form

Download & Print Form

Medical Release Form

Download and Print Form


Download the Free AdobeReader®

Legacy Eye Care
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