Patient Forms

Downloading patient forms and correctly filling out each form will save time during your visit with Enochs Eye Care. Below are three forms that can easily be completed prior to your appointment. Simply download the desired form by following the directions provided. Enochs Eye Care is dedicated to making our time together as convenient for you as possible.

PatientForms

Download Forms

To make your appointment more efficient, we have provided patient forms that are downloadable, allowing you to fill out the required information prior to your appointment.

Patient Forms

SiteAdmin

Website Administration

The Enochs Eye Care Website was developed and is managed by Rommie Huffman. Please contact Mr. Huffman at the following email address for information regarding this site.

Rommie@EnochsEyeCare.com

Patient Forms

Download Patient Forms

Download Instructions

Please click on the desired form for download. The following forms are saved as .pdf files. You may need to download Adobe Reader in order to save and/or print these forms. If you need to download Adobe Reader, a link is provided for you. Completing these forms correctly prior to your appointment can save you valuable time. After opening the form, simply click on your browser's BACK button after printing the information.

Medical Records Release of Information Form

	Form Name: Medical Records Release of Information Form Type (File Type): .pdf Download Form: Click CD Icon to the Left Recommended Program: Adobe Reader Download Adobe Reader: (To return to the Patient Forms page, simply click your browser's BACK button after printing the information.)

Form Description	The Medical Records Release of Information form allows Enochs Eye Care to obtain previous eye health-related information currently with other providers. Download this form and complete prior to appointment..
Back to Top

Patient Information Form

	Form Name: Patient Information Questionnaire Form Type (File Type): .pdf Download Form: Click CD Icon to the Left Recommended Program: Adobe Reader Download Adobe Reader: (To return to the Patient Forms page, simply click your browser's BACK button after printing the information.)

Form Description	Patient Information form provides additional information regarding health-related questions. Download this form and complete prior to appointment.
Back to Top