Optical Outlets
Optical Outlets | Invisalign, Dental Fillings and CEREC

Patient Forms

Eye Exam Preparation & Patient Forms

Be prepared to answer some of these common questions that help your Florida eye doctor understand your risk of eye disease and vision problems.

  • Are you having eye problems now?
  • Have you had any eye problems in the past?
  • Do you wear glasses or contacts now?
  • What health problems have you had in recent years?
  • Are you taking any medications?
  • Do you have any allergies to medications?
  • Has anyone in your family had eye problems, such as cataracts or glaucoma?
  • Has anyone in your family had diabetes, high blood pressure, heart disease or any other health problem that can affect your whole body?

Click the links below to fill out Optical Outlets' patient intake forms.

Click here for our Medical History Questionnaire and complete before your appointment