New and returning patients must complete the new patient paperwork (as applicable) prior to their visit. Children under 18 must have a parent or guardian sign each form.
Be sure to complete all forms and hit Submit. If you would prefer to fill out paper forms, please scroll to the bottom of this page.
Complete these forms for patients ages 13 and up.
If you are an existing patient and would like to update your insurance on file, please complete this form.
Complete these forms for patients ages 13 and under.
If you wear contacts, are interested in contacts, or have had LASIK surgery, please complete this form annually.
If you prefer to fill out paper forms, you can download the PDF here and print them at home.
Don't forget to bring them with you when you come in!
AllForms2021 (pdf)
DownloadWallingford Eye Care Center
821 North Main Street Ext, Wallingford, Connecticut 06492, United States
Copyright © 2021 Wallingford Eye Care Center - All Rights Reserved.
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