Forms

To save time during your initial visit, we have made our New Patient History Form available online. We look forward to meeting you at your appointment with Fishbaugh Family Eyecare.

Please allow up to 2 hours for your examination with Fishbaugh Family Eyecare. Our office strives to care for you in as timely as a manner as possible and most often this amount of time is not needed; however, even routine examinations may need additional time for contact lens dispensing or eyewear shopping and lens option review. Additionally, many patients have ocular medical conditions that require specialty testing which require additional time. We are proud to have all of the latest diagnostic testing equipment needed to help manage all of the typical ocular medical conditions that are seen on a daily basis. Also, occasionally patients may have an ocular medical emergency for which we strive to care for immediately. Anyone who has had this happen would appreciate it. Unfortunately, this may create a delay in Fishbaugh Family Eyecare’s doctor schedule. Thank you for your understanding and consideration in advance.

  1. Download and print the New Patient History Form.
  2. Complete the New Patient History Form at a time convenient to you.
  3. Bring the New Patient History Form along with your insurance information, photo I.D., contacts, glasses, and a list of current medications that include the dosage and how often you take it to your first appointment.

 

Download Patient History Form
Download Consent Form
Download AMD Screener Form
Download Optomap Consent Form
Only for St. Henry and Lima locations

Come See the Difference at Fishbaugh Family Eyecare

Contact us today, we are ready to answer your questions. Schedule your appointment at one of our two locations.

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