New Patient Forms

We look forward to seeing you at Alabama Family Eye Care

Please take a moment to print and fill out the new patient paperwork using the link below and bring it with you to your first appointment along with your driver’s license and insurance card(s).

New Patient Paperwork*

If you are an existing patient and have had any changes to your contact or insurance information, please be sure to let us know at your next appointment so we can get a new copy of your driver’s license and/or insurance card(s).
*If you are unable to print the paperwork, you can stop by our office any time during business hours to pick up a packet. Otherwise, please arrive 15-20 minutes before your scheduled appointment to allow time to complete the paperwork at that time.
Summary of Services
  • Comprehensive Eye Exam – complete evaluation of the visual system and ocular health including dilation (dilation is performed at least every other year)
  • Pediatric Comprehensive Eye Exam – complete evaluation of the visual system and ocular health including dilation beginning from six months of age. Eye exams for children are very important because vision problems are often related to poor school performance.
  • Contact Lens Fittings – for all types of contact lenses including specialty contact lenses available for astigmatism, presbyopia (the loss of reading vision after age 40-45 years old), and keratoconus (a progressive disease in which the cornea thins and becomes irregularly shaped).
  • Specialty Contact Lenses – supply any and all types of contact lenses available on the market.
  • Cataract Surgery Care – perform pre-operative and post-operative care following cataract surgery.
  • Digital Retinal Imaging – documentation of eye conditions that need to be monitored for changes over time.
  • Glaucoma Testing – diagnosis, management and treatment of glaucoma, called the “silent thief of vision” because it has no symptoms until its later stages when vision is already lost.
  • Lasik Surgery – perform pre-operative exam to evaluate if you are a good candidate and post-operative care following Lasik surgery.
  • Macular Degeneration Management – monitor progression and evaluate if treatment is necessary. Research indicates certain vitamins and minerals may help prevent or slow the progression of macular degeneration.
  • Latisse – medication prescribed to grow longer, fuller, darker eyelashes
  • Eye Emergencies – including red eyes, injuries and sudden symptoms requiring evaluation and treatment.
  • Dry Eye Syndrome – including evaluation and treatment such as punctal plugs, prescription drug treatment like Restasis, and monitoring.
  • Surgical Consultation and Post-Operative Eye Care Treatment – for cataracts, strabismus, corneal transplants, retinal detachment, Lasik, PRK, and Epilasik and others.
  • Frame and Lens Service – prescribe and fill prescriptions for prescription glasses, reading glasses, sunglasses, and specialty glasses for hobbies and occupational needs.