At Lock Family Eye Care, 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. Click here to download.
- 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.
Medical History Forms - Required
Please complete the following medical history forms to help us better understand your unique situation.
Download & Print Medical History Front Form 1
Download & Print Medical History Back Form 2
Insurance Release Form
The insurance acknowledgement form gives Lock Family Eye Care the authorization to filewith your insurance company