Online Forms

ArkLaTex Eyes Online Forms

At ArkLaTex Eyes, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

PDF File
Patient Demographics
PDF File
Patient Health History
PDF File
Notice of Privacy Practices
PDF File
Patient Consent and Acknowledgement of Privacy Practices
PDF File
Financial Assignment and Agreement
PDF File
Financial Policy
 
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All Eye Care Services

Find personalized eye care excellence with our comprehensive services. From eye exams to advanced diagnostics, trust us for all your vision needs.

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For non-urgent questions or to learn more about our services, contact us today!