To best schedule you for your eye exam and for us to prepare to see you, please complete this intake form below either online which will be submitted to us directly or the PDF and email it to us at info@cleareyedoctors.com. When we receive it, we will contact to schedule your eye exam. Having your eye history and current state of your health helps our doctor take better care of you. Please let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.
New Patient Intake Form - Online Version
New Patient Intake Form - PDF version