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Online Forms

Online Forms

At Scott Eye Care, Ltd., we value your time. In an effort to save you time in our office, you can complete our patient forms online prior to your appointment.


New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Online Registration


Refund / Return Policy

Download & Print Form