Online Forms

At THE EYE ZONE, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • 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.

  • Acknowledgment of Notice of Privacy

  • DOWNLOAD
  • Routine vs Medical Exams Insurance Acknowledgement

  • DOWNLOAD
  • Prescription Eyewear, Progressive Lenses, Contact Lenses, Telemedicine, Cancelled Appointments Financial Responsibilty Form

  • DOWNLOAD