Lifetime Eyecare Online Forms

At Lifetime Eyecare, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

Patient Health History
Download
Patient Registration Form
Download
HIPAA Notice of Privacy Practices
Download
HIPAA Receipt of Notice of Privacy Practices
Download
Contact Lens Patient Consent Form
Download
Patient Nondiscrimination Notice
Download