At Acuity Eyecare, we value your time. In an effort to save you time in our office, you can download and complete our patient form prior to your appointment.
New Patient Health History Form – Required
Please download and complete the New Patient Health History Form so we understand the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.
- You will need AdobeReader® to download and complete the forms. Click Here to download AdobeReader®.
- Download the required form. Print out the form and complete the required information.
- Fax your printed and completed form to our office or bring them with you to your appointment.