Anderson Eyecare offers our patient forms online so they can be completed in the convenience of your own home or office. As a patient at Anderson Eyecare, you have two choices in completing your paperwork. One choice is to complete your forms online and submit them to us via our secured website. Your second choice is to print out the forms and bring the completed forms with you to your appointment.
If you are new to our practice
Please submit the form online, OR download and print the PDF below.
Online Forms
New Patient Information Form (Required) - Submit Online
COVID-19 Screening Questions (Required) - Submit Online
Acknowledgement of Privacy Policies and Practices (Required) - Submit Online
Download & Print Form
New Patient Information Form (Required) - Download & Print
Optomap/Dilation & Enhanced Testing Form (Required) - Download & Print
COVID-19 Screening Questions (Required) - Download & Print
Acknowledgement of Privacy Policies and Practices (Required) - Download & Print
If you are returning to our practice
Please submit the form online, OR download and print the PDF below.
Online Forms
Established Patient Information Form (Required) - Submit Online
COVID-19 Screening Questions (Required) - Submit Online
Download & Print Form
Returning Patient Information Form (Required) - Download & Print
Optomap/Dilation & Enhanced Testing Form (Required) - Download & Print
COVID-19 Screening Questions (Required) - Download & Print
All Individual Patient Forms
Established Patient Information Form (Online)
New Patient Information Form (Online)
New Patient Information & Medical History (Printable)
Returning Patient Welcome Form (Printable)
Contact Lens Services (Printable)
Optomap/Dilation & Enhanced Testing Form (Printable)
HIPAA Privacy Policy
COVID-19 Screening Questions
Acknowledgement of Privacy Policies and Practices