New Patient Forms

Speed up your eye appointment by filling out your paperwork ahead of time! The following forms are pdf files, which you can view and print from your home computer. There are three of them you need to fill out.

Adults
1. Adult Registration (1 page):TomokaEyeRegistration.pdf
2. Adult Questionnaire (2 pages): TomokaEyeQuestion.pdf
3. Adult Insurance (1 page): TomokaEyeInsurance.pdf

Minors (under 18):
1. Minor Registration (1 page): TomokaEyeMinorRegistration.pdf
2. Minor Questionnaire (2 pages): TomokaEyeQuestion.pdf
3. Minor Insurance (1 page): TomokaEyeInsurance.pdf
4. Non-Parent Permission (1 page): NonParentForm.pdf
This last form must be notarized.