We look forward to seeing you soon!

Patient Forms

Please find all of the forms we will need before your first visit right here. You may download the forms to complete at home and bring them with you to your visit, or email them ahead of time. Please remember to bring any insurance information as well. We look forward to seeing you soon!

Download Patient Information Form

Download HIPAA/Authorization Form

Download SPEED Questionnaire for Dry Eye Assessment

Phone (205) 624-4736

Email info@pelhameyecenter.com