At Eye Zone, we value your time. In an effort to save you time and keep our doctors on schedule, you can submit your patient form online or you can print it out and complete it before you arrive at our office for your scheduled appointment.

  • Office Visit Form – Fill Out Online
  • Quality of Performance Survey – Download & Print
    This form should be filled out by those patients who are interested in vision therapy.
  • Release of Personal Health Information – Download & Print
    This form is for patients who have requested that we send or receive medical information to or from another doctors office.
  • HIPPA Policy – Download & Print
    Our policy on privacy practices and patient’s rights.

You will need Adobe Reader® installed on your computer. If you don’t have it, click here to download it. Click Here to download.

If you have any questions about our office or our forms, don’t hesitate to contact us today at (715) 381-1234.