1040 BRIGHTON AVE PORTLAND, ME 04102              207.253.5333         MONDAY - FRIDAY 9-5, SATURDAY 8-1

New Patient Forms

We have attached the forms that you will receive as a new patient in our office in an effort to save you time. Please feel free to download, print and fill out the patient forms prior to your appointment and bring them with you to your exam. 

PORTLAND EYECARE MEDICAL HISTORY QUESTIONNAIRE - REQUIRED

PORTLAND EYECARE CONSENT FORM - REQUIRED
Download and Print

PORTLAND EYECARE DILATION/OPTOS FORM - REQUIRED
Download and Print

PORTLAND EYECARE HIPPA POLICY - READ ONLY

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