Patient Forms

At Griffin Eyecare your time is as important to us as yours. Below are links for downloading and completing our patient form(s) prior to your appointment with your eye doctor. Please bring them with you to your appointment.

New Patient

If this is the first time you are seeing us, please complete the new patient form.

Download and Print Form

Notice of Privacy

This form explains how your medical information may be used and disclosed along with how you can get access to it.

Download and Print Form

Release of Medical Records

This form gives us permission to send and receive your medical records.

Download and Print Form

YouthCare Vision Plan

This form gives us permission to send and receive your medical records.

Download and Print Form

Patient Forms

New Patient

Notice of Privacy

Release of Medical Records

YouthCare Vision Plan​

YouthCare Vision Plan