Eye Associates of Alexandria

At Eye Associates of Alexandria, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

• You will need AdobeReader® 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.  Fax:  320-763-6921

New Patient Health History Form – Required

Download & Print Form

Authorization To Release Medical Records

Download & Print Form