At Christensen Eye Care, 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 or email your printed and completed form(s) to our office or bring them with you to your appointment.
Download & Print ALL Forms OR Print all forms individually below!
Download & Print ALL Forms - Spanish OR Print all forms individually below!
COVID-19 Questionnaire
Download & Print Form - Spanish
Patient Health History Form – Required
Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.
Download & Print Form - Spanish
Dry Eye Questionnaire
Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.
Medical Records Release
Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.