Patient Forms
To speed things along when you arrive for your appointment and make it easier on yourself, you can go ahead and print out the three main patient forms, complete them in ink and have them ready to hand to us when you arrive at Columbia Eye Clinic for your scheduled appointment. They are in 
pdf format. You will need a copy of Adobe Acrobat Reader in order to open the forms. If you do not have Adobe Acrobat Reader on your computer, you can download a free copy by clicking on this button.
Get a free copy!
pdf format. You will need a copy of Adobe Acrobat Reader in order to open the forms. If you do not have Adobe Acrobat Reader on your computer, you can download a free copy by clicking on this button.Get a free copy!
Special Fees
Disclosure Agreement
Authorization Form
Patient Signature Form
Patient Bill of Rights
If you would like to send us an e-mail with your questions or concerns, our e-mail address is jbutler@columbiaeyeclinic.com. We'll be happy to answer any questions you may have.
Disclosure Agreement
Authorization Form
Patient Signature Form
Patient Bill of Rights
If you would like to send us an e-mail with your questions or concerns, our e-mail address is jbutler@columbiaeyeclinic.com. We'll be happy to answer any questions you may have.