Online Forms
Vision City of Lake Worth offers our patient form(s) online so they can be completed in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Please complete the forms with blue or black ink, and bring your completed forms in with you for your appointment. We kindly request you do not fold the pages.
New Patient Forms
These forms let us know the history and current state of your health. You will find note of privacy practices within our practice, as well as testing procedures. What questions, concerns, goals, regarding your vision can we help you with? Let us know!
Download & Print Forms
VIP Member Registration Form - Optional
This form can be filled out to register for access to the members only section of our website. You can also sign up for our monthly newsletter to keep up on current vision issues, as well as receive special promotions and invitations to VIP events in our office. Print out this form and bring it with you to our office. If you prefer, Click Here and register online instead! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!
Download the Free AdobeReader®