SAVE TIME AT YOUR APPOINTMENT!
Below you will find forms requested during Check-in at Azar
Eye Institute for
both
New Patients and Existing Patients.
|
** Fill the forms out
on-line by typing, and then print the completed version |
| Instructions: Click on the form required. When finished filling in the blanks, select the "File" menu (top left of
screen), then select "Print". You can either close your browser
now, or click on the "Back" button. You're finished! |
| Note: you must have Adobe Acrobat installed on your computer.
If you currently do not have Adobe Acrobat Reader and would like to download it
for free, please go to their website at
http://www.adobe.com/products/acrobat/readstep2.html |
| Patient Information Form |
| Medical History Questionnaire (If you are a returning patient and you have no changes, check the box at the bottom of the second page stating so.) |
