Print Patient Forms

Who needs each form?

To view the form, just click on the form name.


New Patients
A new patient is visiting Baxter Eye Care for the first time.

Please fill out the forms:
- Welcome to our Office
- Medical History for New Patient


Existing (Returning) Patients
An existing patient has visited Baxter Eye Care either recently or anytime in the past.

Please fill out the form:
- Medical History for Current Patient

Note: Existing patients - please make sure to provide any change of address, email address, and/or phone number(s).

Children
A child (age 12 and under) visiting Baxter Eye Care for the first time.

Please fill out the forms:
- Children's History
- Welcome to our Office
- Medical History for New Patient

Optomap Retinal Exam
Optomap is an advanced technology exam that provides an in-depth view of the retina. The alternative to Optomap is the conventional eye dilation which adds 15 minutes to your appointment.

For more information, view these PDF pages:
- Optomap Retinal Exam
- Optomap Advantages for Children