Online Forms

At Jolly Good Eye Care, 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.

Austin

Registration and Health History

Download & Print Form

Dilation and Visual Field Screening

Download & Print Form

Bill of Rights

Download & Print Form

Acknowledgement of Privacy Practices

Download & Print Form

Notice of Privacy Practices - HIPAA

Download & Print Form

New Braunfels

Registration and Health History, Additional Screenings

Download & Print Form

Bill of Rights

Download & Print Form

Acknowledgement of Privacy Practices

Download & Print Form

Notice of Privacy Practices - HIPAA

Download & Print Form

Spanish Forms

Formularios en Español (Spanish-language forms)

Download & Print Form

Download the Free AdobeReader®