EYE HEALTH & MEDICAL HISTORY
Welcome! We look forward to your upcoming appointment and thank you for taking the time to provide the requested information which will be used to prepare your patient record.
For your convenience, electronically submitting your completed forms prior to your appointment bypasses the need to do this task on the day of your visit. We NEVER sell or share any of your information with anyone at any time. All information is transmitted via a secure network to ensure confidentiality, in compliance with the Health Privacy Laws.
We look forward to being of service to you!
*If you are scheduled for a CONTACT LENS EXAM & are NEW to our practice, please return to the FORMS tab on our website (www.seedryee.com) and kindly fill out the following: