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.
Records Release Forms
Records Release form – Download & Print Form
Records Release Form (for new office) – Download & Print Form
Records Release Form (multiple patients) – Download & Print Form