Online Forms

At Complete Eye Care of Medina, 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.

  • Download the free AdobeReader┬«.
  • Download the required form(s) below.
  • Print out the form(s) and fill in the required information.
  • Fax your completed form(s) to 763-478-2727 or bring them with you to your appointment.
Please complete the forms as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.