Patient Forms

New Patient Forms

Welcome! If you’re planning your first visit to Wallingford Eye Care Center, we look forward to meeting you. To save time on your first visit, we encourage you to fill out our online forms or download and print them below.

If you do not already have AdobeReader® installed on your computer, Click Here to download.


​​​​​​​Form Downloads


  • New Patient Form (Downloadable)
  • DOWNLOAD
  • Medical Release Form
  • DOWNLOAD​​​​​​​
  • Electronic Consent for Glasses and Contact Lenses Form
  • DOWNLOAD
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