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.

   
What'sNew

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.

...more
   

 

   
CurrentNews

New Website

Enochs Eye Care has a new Website.  We are interested in your thoughts and comments.  Let us know how you like the new site.  Click below and fill out the online form on the Contact Information page.

 

...more
   

 

   
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

 

...more
   

 

   

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

Download 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: 
Get 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

Download Patient Information Questionnaire 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: 
Get 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.  this information is required in order for Enochs Eye Care to provide the highest quality care possible.  Download this form and complete prior to appointment.
Back to Top