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New Patients

Are you looking for a new eye care provider? Ford Eye Care Center is accepting new patients every day and we look forward to becoming the primary eye care provider for you and your family. We also accept most vision insurance plans. To ensure the best patient experience, we encourage you to download the new patient forms. You can fill them out and email them directly to us using our interactive pdf. Alternatively, you can print them out and bring them with you to your initial appointment. We look forward to seeing you soon!

Download New Patient Application
  • Download the form and then right click on the icon and select Rename.
  • Rename the form in the following manner: Lastname-Firstname
  • You will need Adobe Reader to open this file.
  • Once open, click the “Highlight Existing Fields” button in the top right
  • You can type, check, and [tab key] through all of the fields just like an online form.
  • This form gives you the ability to work offline and at your own pace. You can save your work at any time.
  • Once completed, click the maroon “Submit Application” button at the bottom of the form.
  • You will be prompted to select an email client. Make your selection and click OK.
  • An email will be auto created and auto formatted with your form as an attachment.
  • Simply click send to complete the new client application process.

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