Patient Forms

To speed things along when you arrive for your appointment and make it easier on yourself, PRINT OUT ALL PATIENT FORMS, complete them in ink and have them ready to hand to us when you arrive at Columbia Eye Clinic for your scheduled appointment.

Welcome/Patient Information & Consents Form

Patient History Form

Privacy Notice

Financial Policy

Schedule of Refraction, Contact Lens and Other Fees

To transfer records to or from Columbia Eye Clinic complete the form at the link below. 

Patient Records Release

If you would like to send us an e-mail with your questions or concerns, our e-mail address is We’ll be happy to answer any questions you may have.