Online Forms

At Executive Eye Care, we value your time. In order to be more efficient during the check-in process, you may complete our New Patient Online Forms prior to your appointment.


New Patient Online Forms

Please complete the Patient Demographics tab and Medical History tab and then click the final Submit Data tab (if you click on OTHER, you may type in any answer not listed):

New Patient Online Form


HIPAA: 2023 Notice of Privacy Practices

Download & Review


HIPAA: 2023 Acknowledgement of Notice of Privacy Practices

Download & Review


Welcome to Our Office

Download & Review

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