Patient Forms
Welcome to EyeCare for You! You may download and print the forms below, complete at home, and bring to your first appointment. Please fill out forms as completely as possible for each patient. Thank you.
| patient_intake_sheet_new_2020.docx |
LATE CANCELLATION/RESCHEDULE,
MISSED APPOINTMENT
and
NO-SHOW POLICY
APPOINTMENTS MUST BE CANCELLED AT LEAST TWENTY-FOUR (24) * HOURS IN ADVANCE.
Any cancellation/rescheduled, missed appointment or no show will be subject to a $40.00 cancellation fee**.
The cancellation fee must be paid prior to rescheduling your appointment. Payment should be made over the phone with a credit/debit card.
If paying by a check, you will not be able to reschedule, until we receive the check.
*Twenty-four hours in advance is defined as time and date on the business day prior to the scheduled appointment. Cancelling on a weekend or holiday is not considered twenty-four-hour notice.
**Cancellation fees are nonrefundable and do not go towards your next appointment.