New Patient Forms

Patient Information

First Appointment

New Patient Information


At Lee Eyecare Center, we offer patient forms online so you can complete them at your convenience before you visit our East Valley optometry office. Fax or email us your completed forms or bring them with you to your visit.​​​​​​​


  1. Download the necessary form(s) and fill in the required information.
  2. Fax or email us your completed form(s) or bring them with you to your appointment.


PATIENT INFORMATION CONSENT FOR DILATION/VISUAL FIELD NOTICE OF PRIVACY POLICY
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