For your convenience, we have three options to provide your information & medical history to Lifetime Eyecare before your appointment:
- You can click the handy link to our online patient communication system NEXUS and fill out a secure online form. You will be asked to complete the HIPAA form and the Contact Lens Consent (if you wear contacts) when you arrive at our office (or you can print from below and bring with you).
- If you prefer to fill out paper forms, you can use the “Downloadable Forms” links below to print out paper forms. Fill them out and bring them to your appointment.
- Patient Registration Form [PDF]
- Patient Health History [PDF]
- Contact Lens Patient Consent Form [PDF]
- HIPAA Receipt of Notice of Privacy Practices [PDF]
3. Or you can come at least 15 minutes early for your appointment and fill out the forms in our office.