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At Bright Eyes Vision Clinic, we value your time. In an effort to save you time in our office, you can download and complete our patient form prior to your appointment.

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

New Patient Form to Sign – Required

Please print and sign this page, and we'll get your exam started even faster! 

Download & Print Form

Download the Free AdobeReader®