Patient Forms

For New Patients

Please complete the New Patient Packet. You can download the fillable PDF from the link below and either print and bring to your first appointment, or email to reception@nrveye.com prior to your appointment.

New Patient Packet

For Existing Patients

We ask that you update your basic information every year to keep our records accurate and ensure proper care and treatment. You can download the fillable PDF below and either print or and bring in to your next appointment or email to reception@nrveye.com.

Patient History Update

Patient Privacy

We take your privacy seriously. Please review our HIPAA Notice of Privacy Practices.

HIPAA Notice (PDF)

Patient Satisfaction Survey

Please help us understand how we are doing and how we can improve by taking our brief survey

Patient Survey

Patient Forms

For New Patients

For Existing Patients

Patient Privacy

Patient Satisfaction Survey

NRV Eye Center