At Cape Fear Eye Associates, PA, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.
- You will need AdobeReader® to download and complete the forms. Download the Free AdobeReader®
- 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.
New Patient Health History Form – Required
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 your have regarding your eye health or vision on the form.
- Welcome to Cape Fear Eye Associates
- What to Expect on First Visit
- Patient Registration Form
- Medical History
- Treatment Consent
- Comprehensive Eye Care Services
- RELEASE OF MEDICAL RECORDS
- Financial Agreements
- How to Find Us
- E prescribing consent form
- Family History
- New Patient Packet
- Physician Referral Form
- Patient Financial Responsibility Statement
- HIPAA Form
If you have any questions, please do not hesitate to contact our office by calling (910) 484-2284.