We need the following forms for new patient registration. To expedite your registration process, please print and complete the paperwork and then bring these forms, along with your insurance card/s, to your upcoming appointment. You may also e-mail these forms to firstname.lastname@example.org with the date of your appointment in the subject line. Please allow approximately 90 minutes for a dilated, comprehensive eye examination. We look forward to seeing you soon.
- Patient Information Form
- Patient Medical History Form
- Refraction Fee Form
- Patient Communication Release Form
- Notice of Privacy Practices
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 email@example.com .