Patient Forms

We need the following forms for new patient registration. To expedite your registration process, please complete the paperwork and bring these forms, along with your insurance card/s, to your upcoming appointment. You may also email these forms to csa@milwaukeeeyecare.com with the date of your appointment on the subject line. Please allow approximately 90 minutes for a dilated, comprehensive eye examination. We look forward to seeing you soon.

Dr. Office Workers


If you would like your medical records to be transferred either to or from Milwaukee Eye Care, please print and complete the following form. You may also e-mail this form to medrecords@milwaukeeeeyecare.com .

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