​​

Fill Out Patient Forms

Downloadable online patient forms need to be completely filled-out and brought with you to your first visit to our office. If you have questions about any of these items, please contact Cape Fear Eye Associates and one of our staff members will be happy to provide you with assistance.

​

Please fill out the following Printable PDF files before coming in. We have also combined the files into one Printable PDF file for easy printing. This will help us make your visit a smoother quicker experience.

​

​

​

​

​

​​

​​

​​

​​

​

​

​

• Welcome to Cape Fear Eye Associates

• What to Expect on First Visit

• Patient Registration Form

• Patient Financial Agreement

• Virtual Scribe Consent Form

• Medical History

• Treatment Consent

• Comprehensive Eye Care Services

• Financial Responsibility Statement

• E prescribing consent form

• Family History

​

​

Thank you for choosing Cape Fear Eye Associates, P.A. for your eye care needs. We are committed to serving your eye health, so please let us know if we can improve our service in any way. For any additional questions, please contact our office at 910-484-2284. 

​

​