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Call Us (833) 815-2020

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Patient Forms

Because we respect your time, you now have 2 options to fill out our appointment forms in advance!

1. You can download-fill it out- then scan and email it to us at frontdesk2@eyedoctordallas.com

2. You can download-fill it out- then fax it to us (214)-361-7310

WE ARE NOT ACCEPTING HAND CARRIED PAPER FORMS FOR EVERYONE’S SAFETY.

Thank You

NEW PATIENTS FORMS

  • New Patients Welcome Form [Click Here]
  • Early Detection Screenings for Retinal Disease, Glaucoma, and Macular Degeneration  [Click Here]
  • Contacts Wearer Form [Click Here]
  • COVID-19 Screening Form [Click Here]
  • Notice of Privacy Practices (READ ONLY, DO NOT PRINT) [Click Here]

ESTABLISHED PATIENTS FORMS

  • Current Patients Welcome Back Form [Click Here]
  • Early Detection Screenings for Retinal Disease, Glaucoma, and Macular Degeneration  [Click Here]
  • Contacts Wearer Form [Click Here]
  • COVID-19 Screening Form [Click Here]
  • Notice of Privacy Practices (READ ONLY ONLY, DO NOT PRINT) [Click Here]

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