To maximize your appointment time Eye Zone has these forms available for download.

  • 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.
  • Transportation Form – Download & Print
    This is for patients who will have people other than their parents or guardians bringing them to and from vision therapy appointments.

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.