For your convenience, Family Vision Care Associates offers the following forms to be downloaded at your convenience prior to your visit to our offices:
*ALL NEW PATIENTS, please print and complete one of the two Medical History Forms listed below and bring it with you to your appointment.
If you wish to give authorization to someone so that we may discuss your health record and billing pertaining to our office with them, please:
If you wish to give us authorization to release your medical record to another doctor or entity, please:
If you wish to give us authorization to exam/treat your minor child without a parent being present, please:
If you wish to take advantage of a comprehensive vision exam for your infant (The InfantSEE Program), please use the forms (English or Spanish) listed below: