Help Make Your Intake Faster

Fill Out Your Forms Ahead

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At River Valley Eye Professionals, we want to make your visit as smooth and efficient as possible, starting with your paperwork. To save you time, we offer patient forms online, allowing you to complete them at your convenience—whether at home or in the office. By filling out these forms ahead of time, you can spend less time in the waiting room and more time focusing on your eye care.

PLEASE READ BELOW BEFORE STARTING

  1. Select the necessary form(s) from the below list, download them, and print them out.
  2. Complete the required information at your convenience.
  3. You can either fax or email the completed forms to us or bring them with you to your appointment.

If you don’t already have AdobeReader® installed on your computer, Click Here to download it now.

Patient Information Form

Download Patient Form

Medical History Form

Download Medical Form

HIPAA Compliance Patient Consent Form

Download HIPAA Form

Records Release Form – From

Download Release From Form

Records Release Form – To

Download Release To Form