Download & Fill Out Forms

You can save some time and processing by downloading our forms in advance of your appointment. They are in the PDF format and will require the most recent Adobe Reader to open. Once you've filled out the forms as completely as possible, you can simply print and bring them with you during your scheduled appointment. Please note that there are three forms total and that all three must be filled out.

Patient History Forms PDF Download To Save the Form to Your Computer, Right-Click the link and "Save As"

If you're having trouble viewing or opening the form, please download the latest Adobe Acrobat Reader.

Or, you can now fill out the forms online!

As an additional convenience to our customers, we've added the ability for you to fill out the same forms as above, entirely through a secure connection online!

To access our Online Patient History Form(s) you must be a registered member of FamilyEyewearGallery.com. Click here to register, it's completely free and only takes a few minutes.