Richland Eye Care’s Response to the Coronavirus (COVID-19)

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Patient Forms

Again, thank you for helping us prepare for your appointment. We appreciate your preparation time, which allows us to focus on you while you’re in our office!

*These forms only need to be filled out once a year-If you’ve been in this year, you don’t need to resubmit these unless there has been a change.

Online Forms (All Online Forms are secure, encrypted and HIPAA-compliant):

Patient Information form

Patient Health History

OR

PDF Forms (Print and Bring to Appointment):

Patient Information form

Patient Health History