Online Forms

At Miles & Tisch Eyecare, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

New patients, click here to download our new patient questionnaire and save time before your first appointment.  Just bring this filled out form to your first examination to save some time.

New Patient Questionnaire

HIPPA Consent Form

HIPAA Authorization Form

Download the Free AdobeReader®

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