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Patient Forms



At Horizon Eye Care, personalized care is our standard. To streamline your experience, we have assembled the forms most commonly requested by new and current patients. Please complete them before your visit so that we may process your information efficiently. If you do not have access to a printer, we can mail these to you, time permitting. Or, if you prefer to fill out the forms at the time and location of your appointment, please arrive 20 minutes early to allow yourself sufficient time.

If you need medical records, please fill out the Medical Records Release Form. Once completed, you may drop it off at any of our six locations or FAX it to 704-405-4093. If you have questions, please call 704-405-4108.

Please let us know if you have any questions or if we can help you in any way. Call us during regular business hours at 704-365-0555. We look forward to serving you.

New Patient Forms:

To speed up the check-in process, please print and complete the forms (which have been combined into a single PDF) and bring them to your first appointment. You will also see a link to our Patient Privacy Policy for your review.

Quick Links

Medical Records Release Form

New Patient Forms

Patient Privacy Policy


Patient Forms

    AESTHETIC
    CENTER
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    CATARACT
    CENTER
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    CLEAR LENS EXCHANGE | REFRACTIVE LENS EXCHANGE
    CENTER
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    CORNEA
    CENTER
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    DRY EYE
    CENTER
    LEARN MORE
    EYE EXAM
    CENTER
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    GLAUCOMA
    CENTER
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    LASIK
    CENTER
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    OPTICAL
    CENTER
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    PEDIATRIC
    CENTER
    LEARN MORE
    RETINA
    CENTER
    LEARN MORE