Center for Sight

Patient Forms

Patient Forms

For your convenience, new patient forms are available to you online. This may save you time by completing the forms prior to your arrival for your scheduled appointment.

General Forms


Patient History (PDF - 550KB)
Please fill out this form and bring it with you on your initial appointment. Thank you.
Notice of Privacy (PDF - 64KB)
Please print out this form and retain it for your records. Thank you.
Insurance Authorization Form (PDF - 230KB)
Please fill out this form and bring it with you to your appointment. Thank you.
How Did You Hear About Us? (PDF - 37KB)
Please fill out this form and bring it with you to your appointment. Thank you.


Hearing Services


Lifestyle Questionnaire (PDF - 52KB)
Please fill out this form and bring it with you to your appointment. Thank you.


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