new patient forms

 

Lee Eye Institute welcomes you to our practice!

To decrease the amount of time prior to your appointment, we recommend that you complete the new patient exam forms from this page and bring them with you on the day of your exam.

Click on each one and then simply print and fill out. This will save you time when coming in for your appointment.

We look forward to seeing you soon!

Medical eye evaluation:

NEW PATIENT WORKSHEET

HIPPA

MEDICAL QUESTIONAIRE

FINANCIAL POLICY

 

Lasik Consultation:

NEW PATIENT WORKSHEET

HIPPA

MEDICAL QUESTIONAIRE

FINANCIAL POLICY