Patient Forms

Your Health History

Please complete the registration forms prior to your appointment for Returning Patients and New Patients.   If you just have a follow-up appointment you do not need to fill out forms again.

Nondiscrimination
It is the policy of OC Eye Designs Optometry to not discriminate on the basis of race, color, national origin, sex, age or disability. OC Eye Designs has adopted an internal grievance procedure providing for prompt and equitable resolution of complaints alleging any action prohibited by Section 1557 of the Affordable Care Act (42 U.S.C. § 18116) and its implementing regulations at 45 C.F.R. pt. 92, issued by the U.S. Department of Health and Human Services. Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age or disability in certain health programs and activities.