LUBBOCK EYE CLINIC (806) 799-3944
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Patient Forms

Patient Forms


New Patient Form
File Size: 83 kb
File Type: pdf
Download File

If you are a new patient, please print and fill out the New Patient Form. Then, bring it with you on your next visit.
We look forward to seeing you!
Medical Release Form
File Size: 97 kb
File Type: pdf
Download File

At your convenience, please print and fill out the Medical Release Form. Don't forget to bring it with you when you come to the office.
Patient Questionnaire
File Size: 72 kb
File Type: pdf
Download File

Please print out and answer questions on the Patient Questionnaire. Then, bring this, and all other forms with you when you visit Lubbock Eye Clinic.
Contact Us
3702 34th Street
Lubbock, TX 79410
Phone: 806-799-3944
Office Hours
Mon    8:30 am - 5:30 pm
Tue     8:30 am - 5:30 pm
Wed    8:30 am - 5:30 pm
Thu     8:30 am - 5:30 pm
Fri       8:30 am - 4:00 pm
Notice of Privacy Practices
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  • Home
  • Our Practice
  • Our Services
    • Eye Exam Essentials
    • Optical Center
  • Patient Forms
  • Eye Care Articles
  • Common Eye Diseases
  • Location