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New Patients Receive 15% OFF Their 2nd Pair OF Glasses!

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Online Forms

At Eagle Vision & Eye Clinic, 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.

  • You will need AdobeReaderĀ® to download and complete the forms.
  • Download the form, print it out, and complete the information.
  • Bring it with you to your appointment.

HIPAA Notice of Privacy Practices Form

Download & Print Form

0-5 year old history form

Download & Print Form


6-18 year old history form

Download & Print Form


Established Patient Information Form

Download & Print Form


New Patient Information Form

Download & Print Form



Download the Free AdobeReaderĀ®