At Lakewood Vision Center, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

• You will need AdobeReader® to download and complete the forms. Click here to download.
• Download the required form(s). Print out the form(s) and complete the required information.
• Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

New patient Form

Online OR Download & Print Form

HIPPA Form

Download & Print Form

Patient Responsibility Form

Download & Print Form

Download the Free AdobeReader®