Patient Registration Form

Patient Registration FormThe Eye Center2019-07-22T18:41:36+00:00

Patient Registration Form

Prior to your office visit, please follow the instructions below to complete the Patient Registration Form.

INSTRUCTIONS:

Download and save the Patient Registration Form PDF file.
Open the Patient Registration Form PDF file.
Print the Form.
Fill out the Patient Form completely.
Please sign the Form and bring it with you to your office visit. Thank you.

* The Patient Registration Form is Adobe Acrobat PDF format. Adobe Acrobat Reader.

Isn’t it time you joined the thousands of satisfied patients who’ve discovered you just can’t beat iLASIK at The Eye Center…with over 30 years’ experience, the most advanced iLASIK technology, and an incredible three thousand dollar savings? Plus, you can save even more when you use your Flex plan! Consider the opportunity of starting 2020 with 20/20 vision plus all those savings. Call The Eye Center at 888-844-2020 to schedule your FREE LASIK Consultation.
Schedule your Free LASIK consultation online.

Better Vision Through Better Care

Patient Registration Form

Patient Registration Form

Imagine starting out 2020 with 20/20 vision!