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  • New Patient Registration Form

    New Patient Registration Form

    Thank you for choosing EyeCare Plus for your eye care needs! Enclosed is the paperwork required by our office. Complete each section and sign/initial each highlighted area. Please be sure to complete the insurance portion of the form completely. Medical insurance can be billed for any medical diagnosis such as red eye, swelling, dry eye, cataracts, glaucoma, macular degeneration, etc.

    Please arrive no later than 15 minutes before your scheduled appointment and bring the enclosed forms completed, photo ID, medical and vision insurance cards, and a list of medications if applicable. If you have any questions, please contact our office at 806-358-3594.