NEW PATIENTS RECEIVE 15% OFF SECOND PAIR OF COMPLETE GLASSES!

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Online Forms

At Treasure State 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.
  • Bring  your printed and completed forms with you to your appointment.

New Patient Paperwork

Please print off and complete these three forms that are necessary for all New Patients and bring with you to your appointment.

New Patient Form

Coordination of Benefits

Release of Information & Emergency Contact


Download the Free AdobeReaderĀ®