Patient Forms

Our medical forms are only for patients who have already scheduled their eye appointment. If you would like to schedule an appointment please click here.

Thank you and we look forward to seeing you!


Printable Forms

If you do not wish to submit your forms online, click below on the PDF link to print your forms. You will be responsible for completing your forms prior to your appointment and bringing them with you on the day of your appointment.

Adult Patient Information Form
Pediatric Patient Information Form


Online Forms

Please choose the forms from the location you have an appointment for:

Tyler Office

Adult Patient Information Form

Pediatric Patient Form


Athens Office

Adult Patient Information Form

Pediatric Patient Form


Longview Office

Adult Patient Information Form

Pediatric Patient Form


Henderson Office

Adult Patient Information Form

Pediatric Patient Form