Patient Forms

Our patient forms are available to download, print, and complete before your appointment. If you have any questions about these forms, please contact our office.


Each patient is asked to complete a COVID-19 screening form the day of their appointment. This includes information about your current health, as well as COVID-19 history.

Since our eyes are connected to many of the body’s systems which can be affected by short- and long-term effects of COVID-19, this information is invaluable to our optometrists.

Medications List

As your eye care provider, we ask patients bring an updated list of medications (including vitamins and supplements) to each exam appointment. The form to the right offers a simple, organized way to list medications, dosages, frequency, and more.

New Patient Forms

Welcome to our office! If you are a new patient to Kaye Eyecare, please complete the forms to the right and bring them with you to your appointment.

Per the CDC, in counties with reduced Community Transmission of COVID-19, masks are recommended, but not required within healthcare settings. For additional information about Kaye Eyecare’s updated masking policy and COVID-19 Protocols,click here.