Patient Forms & Office Policies

Patient Forms & Office Policies

Patient Forms & Office Policies

1. At Eyes on Main, we offer patient forms online so you can complete them in the convenience of your own home or office. If a new patient, please go to:

Online Form

Press "New patient page", complete the form, and press submit data at the end.

2. If you are a new patient to the office, please complete the Medical Records Transfer Release Form and return it to the office.
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Download PDF

3. Please bring the following to your appointment:

  • Your current glasses and contact lens information

  • Form of ID

  • Most recent medical insurance card

  • Medicine list

Office Policies

Please see the link regarding our 24-hour cancellation & “No Show” fee and retinal imaging policies.


​​​​​​​Because we provide both medical and routine eye care, we accept a number of vision and medical insurance plans. Please see the insurance tab or call the office if you have questions about whether your visit will be billed to your discount vision plan vs medical insurance.

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