Online Forms

At Ogata 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

You may print and complete your paperwork before you come in for your appointment!  

Just click the link below to download and print the following form to bring with you as it lets us know the history and current state of your health. Include your questions, concerns, and goals you have regarding your eye health or vision on the form.

Patient Intake Form

Patient Notice of Privacy Practices 

Click below to download and print our Notice of Privacy Practices about how we use and disclose your protected health information.  

HIPAA Notice of Privacy Practices




Download the Free AdobeReader®

Locations

Find us on the map

Hours of Operation

Our Regular Schedule

Washington Square

Monday - Friday:

9:30 am - 7:00 pm

Saturday:

9:30 am - 6:00 pm

Sunday:

10:00 am - 4:00 pm

Lloyd Center

Monday - Friday:

10:00 am - 6:30 pm

Saturday:

10:00 am - 6:00 pm

Sunday:

11:00 am - 4:00 pm

Newsletter Signup

Sign up for more articles