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Online Forms

At Trinity Eye Center, 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.

The following forms are available online for your convenience.
Please print out and fill in all applicable forms and bring them to the office with you along with any insurance ID cards.


The New Patient Registration Forms New Pt Reg Form
Click Here to Download

The Financial & Insurance Policy Form Financial & Insurance Policy
Click Here to Download

Health History Form PATIENT HEALTH HISTORY FORM
Click Here to Download

Dry Eye Questionnaire SPEED Dry Eye Questionnaire
Click Here to Download

Our Eyescreen Retinal Photo Form Eyescreen Form
Click Here to Download

Our Contact Lens Wearer’s Agreement Contact Lens Wearer Agreement
Click Here to Download


Download the Free AdobeReader®

Primary Office

Monday:

8:30 am-5:30 pm

Tuesday:

8:30 am-5:30 pm

Wednesday:

8:30 am-5:30 pm

Thursday:

8:30 am-12:30 pm

Closed from 12:30pm - 1:30pm for Staff Development

1:30 pm-5:30 pm

Friday:

8:30 am-3:30 pm

Saturday:

8:30 am-12:30 pm

Sunday:

Closed

Trinity Eye Center