ROUSE EyeCARE CENTER offers our patient form(s) online so they can be completed in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Paperwork- Required – Download & Print Form or Submit Online
This is our new patient paperwork. Please fill this out and bring it with you to your appointment.
Medical Consent & Financial Policy – Download & Print Form
Routine Vision Benefit – Download & Print Form