Online Forms

At Dr. Brian Pettie Eye Care, we value your time. In an effort to save you time in our office, you can download and complete our patient forms prior to your appointment.

  • You will need AdobeReaderĀ® 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.

Please complete these forms as they let us know the history and current state of your health. 

Please note at this time that all paperwork must be completed before you arrive for your appointment.

Health Questionnaire - COVID 19 QUESTIONNAIRE - REQUIRED FOR ALL PATIENTS

New Patient History Form - REQUIRED FOR ALL PATIENTS

Signature on file - REQUIRED IF YOU ARE USING ANY TYPE OF INSURANCE

New Patient Contact Lens Agreement Form - SIGN IF YOU WILL BE HAVING AN EXAM FOR CONTACT LENSES

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