Patient Forms

For the convenience of our patients in seek of a comprehensive eye exam and treatments, we have added our patient forms. Please download, print, read and fill out where needed, the forms below before your visit.

Lifestyle Questionnaire

Privacy Information Form

Patient Registration Form

Medical History Questionnaire

Notice of Privacy Practices 2015


Myrtle Beach Eye Exams

Do you need to make an appointment? Do you have questions about your eye exam or perhaps about our services? Please do not hesitate to call the office today.