Patient Forms

Thank you for scheduling an appointment with Brooks Eye Center & Orthokeratology. Please complete the Patient Information and Patient Medical History forms AND review our Office Policy and  HIPAA documents. You may fax the forms back, or bring them with you to your appointment. 
 
Our fax number is 817.552.0255.
 
If you are unable to complete the forms prior to your appointment, completing them at the office may result in a delay.

If you plan to complete these forms in the office, please arrive 15 minutes prior to your scheduled appointment to complete them.
 
We look forward to serving your eye care needs at Brooks Eye Center & Orthokeratology.
  

Please Complete and Return via fax or email:

Patient InformationView PDF

Patient Medical History Form   View PDF             

   

 

 Please Review:

Office PolicyView PDF

   

HIPAAView PDF

   

 

   

If you do not have Adobe Reader in order to open these files, you may access this free download by clicking on the link below. 

Instead of immediately displaying the downloaded PDF file in Adobe Reader, you may prefer to save the file first and then open it in Adobe Reader. If you are using Internet Explorer, RIGHT-CLICK the link and select "Save Target As..." and choose a location to save the file. You may then go to that location and open the file.

Get Adobe Reader

 

Lasik Surgery Alternative        |        Dallas Fort Worth Lasik         |        Texas Lasik Eye Surgery