Online Forms

Preparing for your visit


Please bring your current eyeglasses and/or contact lens boxes (with the prescription tab), along with an updated list of medications.

​​​​​​​We will need a copy of your insurance card and driver's license.

If you are a new patient, please consider the following two options.
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Online Forms

You may conveniently fill out or up-date your patient information including all MEDICAL history online by the following link:


Online Forms


Paper Forms

Alternatively, you may print the following forms to fill out & bring them with you to your upcoming appointment.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s), print it out, and fill in the required information.

  • Fax or email us your completed form(s) or bring it with you to your appointment.

  • New Patient Entrance Forms

  • DOWNLOAD
  • Office Policies, Contact Lens Service Agreement, and HIPAA Privacy

  • DOWNLOAD
  • Office Policies Signature Form

  • DOWNLOAD
  • Dilation Consent Form

  • DOWNLOAD
  • Retinal Photography Consent Form

  • DOWNLOAD

Upload the fill-out forms here!

admin none 8:30 AM - 5:30 PM 8:30 AM - 6:30 PM 8:30 AM - 5:30 PM 8:30 AM - 6:30 PM 8:30 AM - 5:30 PM Closed Closed optometrist https://www.google.com/search?q=eyecare+rockwall&rlz=1C1KNTJ_enPH995PH995&oq=Eyecare+Rockwall&aqs=chrome.0.0i355i512j46i175i199i512j0i512j0i22i30i625j0i22i30j69i60j69i61l2.774j0j4&sourceid=chrome&ie=UTF-8#lrd=0x864eaa6ad240815b:0x88cbe9c9fabd444a,3,,,, # https://www.facebook.com/EyecareRockwall/reviews tel:9724722020