Online Forms

At EyeWorks Vision Center, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health 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.

Click Here

Nuevo Formulario de Historia de la Salud del Paciente – Required

Por favor complete este formulario ya que nos permite conocer la historia y estado actual de su salud. Háganos saber qué preguntas, preocupaciones y metas tiene con respecto a su salud ocular o visión en el formulario.

Haga Clic Aquí


HIPPA Privacy Notice

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Hours of Operation

Lumberton Office

Monday:

8:00 am-7:00 pm

Tuesday:

8:00 am-7:00 pm

Wednesday:

8:00 am-7:00 pm

Thursday:

8:00 am-7:00 pm

Friday:

8:00 am-7:00 pm

Saturday:

9:00 am-6:00 pm

Sunday:

Closed

Testimonial