Online Forms

At Martinez Eye Associates, 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.

 Required Forms-

MedicalHistoryForm.pdf

FinancialPolicy.pdf

PrivacyPolicies.pdf

Forms You May Need-

DilationConsentForm.pdf

ForeignBodyRemoval.pd

MedicalRecordsRelease.pdf

RefusalIOPCheck.pdf

                                                                                                                                                                                                                                              

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