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New Patient Forms
Complete Your Required Paperwork

New Patient Personal & Health History Form

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.

Doctor and patient in ophthalmology clinic

Existing Patient Forms

At Eye Clinic & Aesthetics of Provo, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) before you arrive. Please note that:

  • You will need Adobe Reader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.
Fax:

(801) 373-8634

Doctor and patient in ophthalmology clinic
Father showing new glasses to his daughter

The Benefits of Completing Your Forms Ahead of Time

Completing patient forms online allows us to streamline the check-in process, reduce wait times, and enhance overall clinic efficiency. Your health and safety are our top priorities, and having accurate and up-to-date information through online forms helps us deliver personalized and effective treatment. Take advantage of this convenient option to make your next appointment smoother and more productive.

Father showing new glasses to his daughter
Get in Touch

Get Started on Improving Eye Health

Completing optometry patient forms online offers a convenient and efficient way to provide essential information to our clinic before your appointment. By filling out your forms in advance, you can save time during your visit and ensure that your optometrist has all the necessary details to provide you with the best possible care.

Have questions about our new patient forms? We’re here to help! Call (801) 373-4550 or contact us online using the link below. Our goal is to make your visit as simple and productive as possible for you and your family. Enjoy a greater quality of care at Eye Clinic & Aesthetics of Provo.

Book Now     (801) 373-4550