FORMS
At Family Eye Care Centers, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.
You will need AdobeReader® to download and complete the forms.
Download the required form(s). Print out the form(s) and complete the required information.
Fax your printed and completed form(s) to our office or bring them with you to your appointment.
New Patient Health History Form
Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.
Powered by EyeCare Specialties of Ohio
Each practice in the EyeCare Specialties network is focused on the eyes of Ohio. Our family of practices have been caring for Ohio's communities for decades. Learn More.