At Tozer Eye Center, 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.
- 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.
Patient Information Sheet
This form will help us collect all of your personal information. This form is required for all new patients.
Release of Medical Records
This form will help us procure your medical records from your existing primary care physician. This form is required for all new patients.
Corneal Cross-Linking Referral
This form must be completed and signed from your referring doctor for Corneal Cross-Linking.
Medical History Form
This form will help us gain an understanding of your medical history. This form is required for all new patients.
Download Form (PDF) ¡También en español!
Privacy Notice
Please review our privacy notice carefully. This form is for your records.