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 print out Optical Outlets' patient intake forms. They are conveniently offered in both English and Spanish.

» Click Here to print our Medical History Questionnaire and bring completed to your appointment. (English) » Haga Click Aqui para emprimar el formato Bienvenido Paciente para llevar consigo a su apoinment. (EspaƱol)