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At Bright Eyes Family Vision, we value your time. In an effort to save you time in our office, you can complete our patient form(s) online prior to your appointment, with no need to print anything!


New Patient Health History Form – Required

Please complete this secure 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.

Click Here to fill out this form


Please remember to bring your ID, insurance cards, medication list, and any glasses, sunglasses, or contacts you currently use. We look forward to seeing you soon!


Your privacy is of the utmost importance to us. Click here to view our HIPAA Privacy Practices.

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