Advanced Family Eyecare Online Forms

At Advanced Family Eyecare, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
​​​​​​​

  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

Authorization for Release of Information
Download
Privacy Practices
Download
Performance Summary
Download
Dry Eye Questionnaire
Download
Vision Rehab Questionnaire
Download
Child History Package
Download
Adult History Package
Download
Report Request Form
Download