It is always our goal at Holt Eye Clinic to give you the eye care you deserve in a timely manner.
In order to ensure that your first visit goes smoothly, you may want to complete the forms below prior to your visit. You can even fax us your forms or drop them off prior to your appointment to speed up your first visit.
- Patient Health History Form – Download & Print Form
- Patient Registration Form – Download & Print Form
- Children’s Registration Form – Download & Print Form
- Patient Permission Form – Download & Print Form
- Current Medication List – Download & Print Form
You will need Adobe Reader® installed on your computer. If you don’t have it, click here to download it. Click Here to download.