Office Form Instructions

Office Forms can now be filled out electronically. If you wish to fill forms out by hand you may print and complete the forms then bring them in to your first appointment. Below are instructions on how to submit them electronically. If you have any questions please call us at 814-368-7090.

(PDF format requires Adobe Reader)
Adobe Reader

Form Instructions
1. Click forms.pdf
2. Fill out fields highlighted in blue
3. Click Submit located at the bottom of the forms
4. By clicking submit, a dialog should appear to email the form. If the submit button does not work,
    save the form to your computer and email it to forms@eyecarecoda.com

 

Schedule an appointment with us today by calling 814-368-7090