Patient Forms

Please fill out the following patient information forms and bring them with you to your first visit.  If you have any issues, please call us at 814 726 1104.  If you are unable to fill out the forms at home, just arrive 15 minutes before your appointment and we will give you the forms to fill out in the office.  

• Patient Information and Medical History Form
• Privacy Policy
• Insurance Information Request Form

• Medical Records Release

Other documents available from Eye Care Professional Associates​

• Contact Lens Do's and Dont's
• Eye Care Brochure
• Eye Care Flyer

[NOTE: The PDFs requires a free plugin that may have come included with your browser. If you are having difficulties opening this file Click Here to go to Adobe's web site for Acrobat Reader.]