Modern Optometry Intake Form – Streamlined, Patient-Friendly Design 🖊️👁️
Simplify your paperwork and elevate your patient experience with this time-saving, professionally designed intake form—created specifically for today’s optometry practices.
This condensed format captures all the essential patient information you need for a comprehensive eye exam, without overwhelming your patients or your staff. Ideal for modern, fast-paced practices that value clarity, efficiency, and a polished first impression.
Why you’ll love it:
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Covers all core intake questions in a simplified layout 
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Saves time at check-in—for both patients and front desk staff 
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Clean, minimalist design appeals to tech-savvy and younger patients 
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Fully editable and print-ready—customize with your branding 
Great for:
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New patient paperwork 
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Modern or startup optometry offices 
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Reducing wait times and front desk bottlenecks 
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Streamlining the intake process without sacrificing quality 
Easy to implement and instantly professional—designed to fit seamlessly into your workflow.
How it works:
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Purchase and download the Canva template link 
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Customize with your practice branding and details 
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Save, print, or share digitally with your patients 
Template Size: Landscape (11 x 8.5 in)
Want to save some trees? Check out the fillable PDF version of this intake form instead!