Office Forms

Download forms, fill them out at home and bring them with you to make your office visit fast and fun!

All forms are in Adobe Acrobat format.

Welcome form - For new patients or if your information has changed from your last visit.

Medical Questionnaire - Please complete this form if you are a new patient or if you have had any changes in your medical condition from your last visit.

Privacy Notice - Eyecare Associates of Columbus Medical information privacy policy.

Patient Consent Form - By signing this form, you consent to our use and disclosure of protected health information about you for treatment, payment and health care operations.

Signature on File, Assignment of Benefits, Financial Agreement - Please sign this form allowing your insurance to make payment directly to Eyecare Associates of Columbus.

A free acrobat reader is available if you are unable to open the forms.