Patient Forms

Welcome to our Patient Center!

We understand that your time is precious and that you need an optometrist who is professional, yet convenient for your lifestyle. In order to make the transition to our office smoother for you, we have created a "Patient Center" with everything you need to get started.

In an effort to streamline the new patient process, you will be able to complete all the necessary items prior to your first visit. We strive to make sure the time we spend with you during your visit is quality time.

Thank you for choosing us and we look forward to seeing you!

If you are a new patient, complete this online form prior to your appointment.

                   New Patient Form


Additional Forms 

COVID-19 Pre-Screening Questionnaire   Please print and complete our COVID-19 Pre-Screening Questionnaire 24 HRS            PRIOR to your appointment. Bring a signed copy with you to your appointment.


Privacy Practices Notice  Please review our "Notice of Privacy Practices" prior to your appointment.


HIPPA Consent Form  You will be asked to electronically sign our "HIPAA Compliance Consent Form" at      your appointment. If you would like to make your records accessible to someone      other than yourself, please provide us with a hard copy of this form (completed).

Statement of Financial Responsibility

  You will be asked to electronically sign this form at your first appointment. It is          provided here for you to review in advance.

Medical Records Release

  To have your medical records transferred to (or from) Eyes on Hayden, please            complete this form and submit a signed copy to us electronically or in person.

Location

Find us on the map

Hours of Operation

Our Regular Schedule

Monday:

9:00 am-6:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

12:00 pm-8:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

7:00 am-4:00 pm

Saturday:

By Appointment Only

Sunday:

Closed

Testimonial

Reviews From Our Satisfied Patients

Being new to this state, I can honestly say this is the best eye doctor and I made a good decision coming here. They took the time and patience to help!

-Katie C.