Skip to main content
Menu
Home » Contact Us » Online Forms

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.

BLFEC HiringFBPost

We Are Hiring!

We are looking for a social, friendly Optician to work with our customers to find the most suitable eyewear for their needs. The Optician will recommend specific eyewear, take measurements, fit and adjust glasses, and teach customers to properly wear and care for their glasses or contact lenses.

To be successful as an Optician, you should have strong customer service, interpersonal, and communication skills. You should be able to recommend specialized eyewear such as for sports and occupational use, as well as informing on and recommending tints and anti-reflective coatings.

Interested in applying? Please send resumes to our email at the office blfec22@gmail.com or fax to 763-553-0131.