At Liberty Lake EyeCare 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 Telehealth Visual Acuity Chart
Please click on the chart below to download the full image, print it, and attach to your wall.
Online Form
New Patient Health History Form – Required
Click and Fill out the online form
Downloadable Forms
New Patient Health History Form - Required
Authorization for Release of Information to Family Members - Required
Liberty Lake EyeCare Center Policy - Required
Demographics Form - Required