At Village Family Eye Care, we offer patient forms online so you can complete them in the convenience of your own home or office. Feel free to print a copy of these forms to fill out and bring with you to your appointment. If you are unable to fill these out in advance, please plan on arriving 15 minutes early to complete in the office.
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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.
Demographics and Medical History
Demographics and Medical History
Financial Policy
Authorization for Text/Email
Acknowledgement of HIPAA & Family/Friends Disclosure
Records Release