At Advanced Eyecare, 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.
- 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 Health History Form – Required
Click here to fill out patient forms online (this link will take you to a secure page)
Please complete this form as it lets 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 form.
To download and print forms choose from below:
|Advanced Eyecare Raytown||Blue Springs Optical||Advanced Eyecare South Raymore|
|Advanced Eyecare Form||Blue Springs Optical Welcome Form||Raymore HIPAA Form|
|Raytown HIPAA Form||Blue Springs HIPAA Form|
|Notice of Privacy Practices|