Patient Forms

When visiting our office, it is helpful for all of our patients, new and established, to bring with them a list of any medications they are currently taking.  In addition, the following documents are available for you to download on your computer and print at home at your convenience.  Just simply click on a link and complete the forms you need.  If you are a first time patient, please select 'Atlantic Eye Consultants - Patient Form Packet' and complete all of the forms prior to your appointment.  Fill out the information to the best of your abilities and if you have any questions, our staff will gladly assist you when you arrive for your visit.   

New Patients:

New Patient Packet 09-25-2013.pdf

Individual Forms:

Welcome to Our Practice 11-13-12.pdf

Medical History 11-13-12.pdf

Optical Information 11-13-12.pdf

Refraction 11-13-12.pdf 

Services Rendered 11-13-12.pdf

Consent for Release 11-13-12.pdf

Privacy Practices 11-13-12.pdf

Established Patients:

Existing Patient Form 11-13-12.pdf

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.