patient forms
It is always our goal at Legacy Eye Care to give you the eye care you deserve in a timely manner. In order to ensure that your first visit goes smoothly, you may want to complete the forms below prior to your visit. You can even fax us your forms or drop them off prior to your appointment to speed up your first visit.

Medical Questionnaire – Download & Print Form

Patient Registration Form – Download & Print Form

HIPAA Form – Download & Print Form

Medical Release Form – Download and Print Form

Medical vs. Self Pay – Download and Print Form

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