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.
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 refering 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.
This form must be completed and signed if you are considering a refraction test for glasses and/or corrective lenses.
Please review our privacy notice carefully. This form is for your records.