Are you a healthcare provider referring a patient to our office? Please use this form to provide clinical notes and patient details so we can coordinate care effectively.

Frequently Asked Questions

How long does it take to fill out the forms? On average, the New Patient Packet takes about 10–15 minutes to complete. We recommend doing this in a quiet space where you have your medication list and insurance information handy.

What if I don’t have a printer? If you are unable to print these forms at home, please arrive 20 minutes early for your appointment, and our front desk team will provide you with the necessary paperwork.

For New Patients

If you are visiting Pisgah Eye Surgeons for the first time, please download and complete our New Patient Form.

Includes: Patient Registration, Medical History, and HIPAA Privacy Acknowledgment.

What to bring with you:

Your completed forms

A list of all current medications (including eye drops)

Your current insurance card and photo ID

Your current eyeglasses