Patient Forms

New Patient Welcome Form | |
File Size: | 313 kb |
File Type: |
If you are a new patient or have not been seen in our office for any kind of appointment in the last year, feel free to print and fill out the forms below and bring them in with you to your appointment. If you have any questions, please call our office any time during normal business hours and a staff member will gladly assist you.

Lions Club Application | |
File Size: | 62 kb |
File Type: |
There is a program through Jackson Lions Club for financial assistance with an eye exam and glasses if you meet certain criteria. You may fill out this form in its entirety and return to Amador Eye Care. Jackson Lions Club must be approved before you have your appointment.
This PDF requires a free plugin that may have come included with your browser. If you are having difficulties opening this file Click Here to go to Adobe's web site for Acrobat Reader.
|