Online Forms

At Martin Eye Care, 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.​​​​​​​

  • 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.

If you have opted in for texting or emailing with us you may receive these forms electronically to fill out before your appointment.

We want your visit to be as stress-free as possible. Our staff will do everything we can to make sure your experience is pleasant and convenient. If you have any questions about these forms, please don’t hesitate to contact us.

PATIENT FORMS

Please download and fill out each of the following forms. Both forms are required.

New Patient Health History Form

This lets us know the history and current state of your health. What questions, concerns, and goals, regarding your vision can we help you with? Let us know!


DOWNLOAD


Patient HIPPA Form

This form describes how health information about you may be used and disclosed, and how you can get access to this information.


DOWNLOAD