New Patient Forms
Welcome to Up North Eye Care! We are excited to meet you and ask that you would please complete the New Patient Form before you arrive so that we can have everything ready for you.
PEDIATRIC Patient Form (Under 18)
We love having a kid-friendly eye clinic! Please fill out our Pediatric Patient Form to prepare for your child's appointment. (multiple kids on one form :-)
DRY EYE QUESTIONNAIRE
This short questionnaire helps us better understand any dry eye issues you have been having and how we can best help you.
Authorization to Discuss Patient Info
Sometimes you might want us to share or be able to discuss your personal medical or financial information with another person. We need permission to do this. You can find this form here.
HIPPA Privacy Policy
Our policy is pretty standard. In general, we don't share your information with anybody who doesn't need it. Click below for the details.
