Downloadable patient forms that you can print and fill out before your next visit to our office.
For your convenience, we have created the following pages to provide you with a list of the insurance carriers we accept at our Fayetteville optometric office, as well as several downloadable forms to save you time at your next appointment.
New Patients please print, fill out, and bring the first three forms, and please read the fourth:
- New Patient Information
- Consignment of Benefits
- Privacy & Consent
- Privacy Notice (no need to print, but please read)
Established Patients please print, fill out, and bring the following form:
For all patients, please bring with you a picture ID, your insurance cards, and a list of any medications or supplements you are currently taking. Thank you for helping our staff keep your records up to date by providing these items.