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
and bring it with you to your appointment ** 

Instructions:  Click on the form below.  You can select the "File" menu (top left of screen), then select "Print".  Please be sure to print clearly and bring these forms with you to your office visit to save time. Once you have printed the form, you can either close your browser, 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 Medical History Form

Patient Information Form

Records Release Form