Welcome to Eye Care 4 TX!

  • Home
  • Locations and Hours
    • Dallas-Marsh Ln Office
    • Dallas-Retail Rd Office
  • Forms
    • Retail Rd Office Forms
    • Marsh Ln Office Forms
  • Insurance
  • Payment Options
  • Meet Our Eye Doctors
  • Additional Resources
  • More
    • Home
    • Locations and Hours
      • Dallas-Marsh Ln Office
      • Dallas-Retail Rd Office
    • Forms
      • Retail Rd Office Forms
      • Marsh Ln Office Forms
    • Insurance
    • Payment Options
    • Meet Our Eye Doctors
    • Additional Resources
  • Home
  • Locations and Hours
    • Dallas-Marsh Ln Office
    • Dallas-Retail Rd Office
  • Forms
    • Retail Rd Office Forms
    • Marsh Ln Office Forms
  • Insurance
  • Payment Options
  • Meet Our Eye Doctors
  • Additional Resources

Optometrist-Marsh Lane Office Forms

For new eye care patients, please fill out a new patient registration form and a HIPPA form before coming into our optometrist office. 

For established patients, we only have a very short form that you can fill out in our office.

New Patient Registration Form-English (Marsh Ln Office) (docx)

Download

New Patient Registration Form-Spanish (Marsh Ln Office) (docx)

Download

Eye Care 4 TX-HIPPA Form-English (docx)

Download

Eye Care 4 TX-HIPPA Form-Spanish (docx)

Download

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