At Broadway Eye Clinic, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.
- You will need AdobeReader® to download and complete the forms. Click here to download.
- Download the required form(s). Print out the form(s) and complete the required information.
- Fax your printed and completed form(s) to our office or bring them with you to your appointment.
New Patient Health History Form – Required
Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.
Myopia Risk Assessment – Important Information
This assessment is designed to help us understand your eye health and determine your risk for myopia (nearsightedness). Your insights are invaluable in tailoring a plan that best supports your vision needs.
Please take a moment to complete this assessment, as it will allow us to gather essential information about your current vision, lifestyle, and family history. We encourage you to share any questions or concerns you may have regarding myopia or your overall eye health.
Your participation is crucial in helping us provide you with the best care possible!
