Patient Forms

At Little Eyes, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

If this is your first visit to our office, please download and fill out the forms available below. Bring the completed forms with you to your appointment. Completing the forms in advance will reduce your check-in time. These forms can be filled in interactively on your computer screen.

  • New Patient Form

  • DOWNLOAD
  • Transferring Medical Records to Little Eyes' office
    If you need to transfer records from a prior physician to our office, please download and complete this form.

  • DOWNLOAD
  • Transferring Medical Records to Another Physician
    If you need to transfer records from Little Eyes’ office to another physician, please download and complete this form. Note: Records transferred from our office will be sent within 15 business days of receipt of your request.

  • DOWNLOAD