Online Forms

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.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.

Download & Print Form


Patient Information Sheet

This form will help us collect all of your personal information. This form is required for all new patients.

Download Form (PDF)


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.

Download Form (PDF)


Corneal Cross-Linking Referral

This form must be completed and signed from your refering doctor for Corneal Cross-Linking.

Download Form (PDF)

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)


Refraction Form

This form must be completed and signed if you are considering a refraction test for glasses and/or corrective lenses.

Download Form (PDF)


Privacy Notice

Please review our privacy notice carefully. This form is for your records.

Download Form (PDF)


Download the Free AdobeReader®

Contact Us

We look forward to hearing from you.

Locations

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Hours of Operation

Our Regular Schedule

Main Office

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-4:00 pm

Saturday:

Closed

Sunday:

Closed