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formerly eyecarecenter Clayton

At eyecare concepts Clayton, 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. Click here to download.
  • 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 Form – REQUIRED

Please complete the forms as they will let 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 forms.

Included in this form: Patient Demographics, Health History, HIPAA and Records Release.

Download & Print Patient Form


Download the Free AdobeReader®