The following form is our new patient form. All new patients fill this form out in order for Eye Health Centres to collect personal and medical information about our patient. Printing and filling out this form prior to your visit will ensure a faster process once you arrive!


Download the New Patient Form by clicking below:



Click Here to download the New Patient Form (PDF)

Please Note: The viewing of the New Patient Form requires Adobe Reader or a similar PDF reader. If you do not have this software installed on your computer, please Click Here to download the most recent version of Adobe Reader.