At The Eye Institute, we value your time. In an effort to save you time in our office, you can complete our new patient form online prior to your appointment or download and bring the completed form with you to your appointment.
- To use our online form, please select the location you will be visiting below.
- You can also download the required form(s). Print out the form(s) and complete the required information.
- If you are not completing your forms online, please fax your printed and completed form(s) to our office or bring them with you to your appointment.
- Read our COVID Safety Protocols before your visit.
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 your have regarding your eye health or vision on the form.
Select Your Location:
Seaboard/Downtown Raleigh Office Forms
Or you can download and print the forms below:
Includes New Patient, HIPAA, Privacy, and Financial Responsibility
