Patient Forms
For your convenience, you can print out forms to provide your information & medical history to Lifetime Eyecare.
You can use the “Downloadable Forms” links below to print out paper forms. Fill out the forms and bring them to your appointment. Or we can collect the information when you arrive.
Downloadable Forms
- Patient Registration Form [PDF]
- Patient Health History [PDF]
- Contact Lens Patient Consent Form [PDF]
- HIPAA Receipt of Notice of Privacy Practices [PDF]