Online Forms

For our new patients, we have conveniently made our patient information forms available to you online and we encourage you to fill them out prior to your appointment. This will save you a
considerable amount of time in the reception area. Simply click on a form title to download and print. If you are a former patient, and you believe there have been changes to your medical history or personal contact information, please feel free to bring an updated form with you to your appointment, or contact us by phone or email to make any changes.

At I-Care Optical, 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.

Patient Databse and HIPAA – English

Patient Database and HIPAA – Spanish

History Questionaire – English

History Questionaire – Spanish

Download the Free AdobeReader®

Contact Us

We look forward to hearing from you.


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Our Regular Schedule


9:00 am-5:00 pm


9:00 am-5:00 pm


9:00 am-5:00 pm


9:00 am-5:00 pm


9:00 am-5:00 pm