Save Time by Completing Your Forms Ahead of Your Visit

Ophthalmology Associates offers several categories of forms you can download, complete, and bring with you to your appointment, or submit online ahead of time where available. Choose the category below that matches your visit.

Have a question about which form you need? Contact our office and our team will point you in the right direction.

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Patient Forms

Please complete our online Patient Registration Forms if you have an upcoming appointment. This packet contains 3 forms and will take about 5-10 minutes to complete. Please have your medication list with you before you start. These forms have a lot of data and we recommend completing them from your computer rather than a phone.

Registration Form (English)

Fill Out English Form

Registration Form (Spanish)

Formulario en español

New patients are asked to arrive 15 minutes before their scheduled appointment to complete the necessary registration forms.

HIPAA and Privacy Notice Acknowledgement

English Spanish

Patient Financial Agreement

English Spanish

Notice of Privacy Practices

English Spanish

Medical History Form

English Spanish

Medical Records Request

If you want a doctor to send your records to us use THIS FORM.

Medical Records Release

If you want us to send your records to another doctor use THIS FORM.

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Exceptional Eye Care Starts Here

From routine eye exams to advanced surgical care, our experienced team is here to help you see your best.

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Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (817) 332-2020.
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