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Online Patient Registration Forms

Please fill out the forms below before your visit and save time at your appointment. You may click on the forms below to open the PDF forms to download and print at home.

  1. Health History Form
  2. Consent for Treatment Form
  3. Designation of Personal Representative
  4. Notice of Privacy Practices
  5. Acknowledgment of Privacy Practices
  6. Contact Lens Agreement

If you have any questions or would like assistance with the forms, please feel free to contact us at (979) 764-0010 during office hours.

The health and wellbeing of our patients, teams and communities is our highest priority. Our practices are temporarily closed for scheduled patient care through the end of April. Please visit myeyedr.com for additional updates.

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We are open for your eye care needs! Open Times to learn more.

Need to order contacts? Order Lenses.