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Online Forms

At Carolina Vision Care, we value your time. In an effort to save you time in our office, please download and complete our two required patient forms prior to your appointment.

  • Simply click the link and view the document!
  • Download the document to your desktop, or another area of your computer where it will be easy to find.
  • Print and complete the form.
  • You can either fax your forms to us at (252) 757-0419 or bring them with you when you come for your appointment.

If you have any questions when you are completing your forms, don't hesitate to call us at 252-752-4380. We look forward to seeing you!


New Patient  Form – Required

All new patients please complete this form.  Bring with you to your appointment, along with your insurance cards and any medications you are currently taking.

Download & Print Form


Medical History Form - Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form. Providing Carolina Vision Care this information will help us give you the best eye care possible.  Bring the form with you to your appointment, along with your insurance cards and any medications you are currently taking.

Download & Print Form


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