Online Forms

Download and Print New Patient Form

Download and Print New Patient Form (Spanish)

Download and Print COVID-19 Consent Form 

Download and Print COVID-19 Consent Form (Spanish)

At My Eye Doctor Optical, 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.
  • Bring your completed form(s) to our office on your appointment day.

New Patient Health History Form – Required

Please complete the above forms 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.

Download the Free AdobeReader®

We accept your VISION INSURANCE!!!

VSP, Eyemed, Humana Vision, Spectera, and more! Please use link above to request an appointment!


Find us on the map

Hours of Operation

Our Regular Schedule



10:00 am-6:00 pm


10:00 am-6:00 pm


10:00 am-6:00 pm


10:00 am-6:00 pm


10:00 am-5:00 PM


9:00 am-2:00 pm