Patient Forms

Download and complete these forms before your visit to save time at your appointment

Welcome to Essential Vision Care and our Patient Forms area. These files are available to help you prepare for your next visit with us. We are frequently updating our website and this forms area. Check back soon for additional patient forms, or CONTACT US TODAY.

New Patient Form

Required for all new patients. Please complete and bring to your first appointment.

Download PDF

Record Release Form

Use this form to authorize the release of your medical records.

Download PDF

IEP Eye Exam Report

Eye exam report form for Individualized Education Program (IEP) requirements.

Download PDF

HIPAA Policy

Our Notice of Privacy Practices under the Health Insurance Portability and Accountability Act.

Download PDF

Ready to Schedule Your Visit?

New patients are always welcome. Request your appointment online or give us a call.