Modern Optometry Intake Form – Streamline Your Patient Workflow 🖊️👁️
Upgrade your intake process with a sleek, professional form designed for today’s optometric practice. Whether you're opening a new clinic or replacing outdated paperwork, this all-in-one intake form helps simplify patient onboarding while supporting efficient documentation for your team.
What’s included:
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Standard health history section
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Dedicated space for contact lens wearers
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Built-in dry eye questionnaire
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Pretesting notes section
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Clean, easy-to-read layout for quick completion
Ideal for:
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New or growing optometry practices
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Offices modernizing outdated forms
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Clinics specializing in contact lenses or dry eye
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Teams focused on efficient, patient-centered care
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Staff training and consistent documentation across providers
Customizable and easy to implement—designed with your workflow in mind.
Size: US Letter Portrait (8.5 x 11 in), printed on 24 lb laser paper (90 gsm)
Listing price covers cost for printed documents, shipping, and customization (adding office logo and necessary information and altering colors to match branding).
Want to save some trees? Check out the fillable PDF version of this intake form instead!
Special Notes: Please attach logo prior to purchasing!
