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Online Forms

At Bass Lake Family Eye Care, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Health History – Download & Print Form

Contact Fitting Form (For all patients renewing Contact Prescription) Download & Print Form

Online Patient Registration Form

If you prefer, you can complete and submit the following form completely online.

Patient Registration Form

Records Release Forms

Records Release Form

Records Release Form (Multiple Patients)