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

     

    TEI Open for Eyecare, Telehealth Care
    Starting May 11


    world hands

    The Eye Institute is open starting Monday, May 11 for all eyecare, vision change, and medical eye care. Call now to schedule your annual eye exam.

    Safety Protocols
    The Eye Institute is dedicated to providing care to the public while keeping all patrons and employees safe and healthy. Please note that a facial mask or covering is required during your visit,and we are not able to provide patients with masks. Please read more in our safety protocols.

    Telehealth Appointments
    If you’d prefer to remain at home, we are offering telehealth appointments via a HIPAA-compliant platform. Telehealth is only available for some types of appointments. We will use your medical insurance for this visit and bill it as a “specialist office visit.” No insurance? No problem. We have standard rates for telehealth appointments for you. Call your preferred location to set up a telehealth appointment.

    We also continue to serve you in the following ways:

    We look forward to serving you, and please reach out to us if you need us. We’re just a phone call away!

    Knightdale: 919-266-2048
    North Raleigh:  919-977-0303
    Downtown Raleigh: 919-200-4840

    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!