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Streamline Your Visit

To ensure a smooth and personalized experience at West Coast Eye Institute, we encourage new patients to complete our New Patient Form before their visit. This form helps our clinical team understand your medical history, vision concerns, and insurance details, allowing us to tailor your care to your specific needs.

New Patient Form

Prior to your visit, it would help our clinical staff if you take a minute and complete this form. Either print the form out and bring it with you, or please email to us prior to your visit. Additionally, our staff will try to remind you of this form at check-in. It will help our team understand more about you and help us tailor your visit to answer your questions.

The following is a general information form about you, your past medical history, and medical/vision insurance information.

New Patient Demographic Form

Complete Your Form for a Smooth Visit

Filling out your New Patient Form before your appointment helps us provide a smoother, more personalized experience at West Coast Eye Institute. By sharing your medical history, vision concerns, and insurance details in advance, our team can focus on delivering the best care tailored to your needs.

Contact West Coast Eye Institute Today

Enhanced Vision is in Sight

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