Patient Forms

  • 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.

    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

    Or you can download and print the below form:

     

    The Eye Institute HIPAA Privacy Form

     

    Notice of Privacy Policy

     

    Patient Financial Responsibility Form

     

    The Eye Institute

    Good Looks is now The Eye Institute.

    Thank you for visiting GoodLooks. We’re now part of The Eye Institute family. You can still visit us in the same North Raleigh location or check out one of our other two offices in Raleigh or Knightdale. Learn more on the “Locations” page on our website.

    We look forward to seeing you again soon!

    Save 10% on Your First Order!

    TEI has launched a line of eye and skin care products! Whether you have dry eye or want longer eyelashes, we have a solution.

    Click “Shop” in the top navigation to start your order today.

    Use the 'SAVE10' coupon during checkout to save 10%!