GOODEYECARE
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Patient forms

To assist us in our goal to see patients on time, we appreciate your assistance in completing the following 3 forms.  Please print them out and complete them prior to your visit.  
  1. NEW PATIENT INFORMATION SHEET - Your Medical and Vision history helps us to assess your overall health and provide you with your best possible vision. 
  2. OCT SCREENING - Be sure to read about our newest technology, the OCT screening.  You will have the opportunity to have this diagnostic test performed during your visit. 
  3. NPP ACKNOWLEDGEMENT OF RECEIPT.  This form simply acknowledges that you were provided with the opportunity to view/print our Privacy Policy.  Our Notice of Privacy can be viewed by clicking on the link at the bottom of our HOME page.
new_patient_forms_package__1_.pdf
File Size: 3034 kb
File Type: pdf
Download File

oct_screening.pdf
File Size: 1280 kb
File Type: pdf
Download File

npp_acknowledgement_of_receipt.pdf
File Size: 254 kb
File Type: pdf
Download File

Thank you for your assistance in completing these 3 forms.  We look forward to seeing you at your appointment!

  • NOTICE OF PRIVACY PRACTICES
    Download File
Good Eyecare
169 CHRISTIANA ROAD
NEW CASTLE, DE 19720
302-322-4444
OFFICE HOURS:
MONDAY    9 A.M. - 7:30 P.M.
TUESDAY 9 A.M. - 5:30 P.M.
WEDNESDAY 8 A.M. - 12 NOON
THURSDAY 9 A.M. - 7:30 P.M.
FRIDAY 8 A.M. - 2 P.M.
Notice of Privacy Practices
Website by Eyefinity
  • Home
  • OUR PRACTICE
    • DOCTORS
    • STAFF
    • HISTORY
  • SERVICES
    • GENERAL EYECARE
    • RETINAL CARE
    • GLAUCOMA
    • DRY EYE
    • CHILDREN'S EYE CARE
  • PRODUCTS
    • Contact Lenses
    • Eyewear - Optical
  • PATIENT RESOURCES
    • REQUEST AN APPOINTMENT
    • Patient Forms
    • Pay My Bill
    • Insurance
    • Eye Care Articles
    • Promotions
  • ABOUT US
    • Location
    • Join Good
  • Reviews