Patient Forms
| New Patient Welcome Form |
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 |
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.
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