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We would like to welcome you to Lakeside Eye Associates. In an effort to save you time during our check-in process, you can download and complete our patient forms prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Please download the following PDF forms, save to your computer, then email to patientinfo@lakesideeyes.com or you may print and bring with you to your appointment and/or fax to 704-896-5514.

Please complete the following 3 required forms for New and Established patients:

Authorization For Release To Family Members/Notice of Privacy Practices*

Patient History*

Insurance Coverage Disclaimer*

Optional Testing Consent Form*

If you are a contact lens wearer please also include:

Contact Fitting Agreement**

Optional forms and request:

HIPAA Privacy Agreement

Medical Records Release Form - To Lakeside Eye Associates

* Required

**Required for contact lens wearers


Download the Free AdobeReader®

THIS ---->https://lakenormaneyecare.imatrixbase.com/online-forms.html

Office Hours

DayOpenClosed
Monday8:00am5:00pm
Tuesday9:00am6:00pm
Wednesday8:00am5:00pm
Thursday9:00am6:00pm
Friday8:00am5:00pm
SaturdayClosedClosed
SundayClosedClosed
Day Open Closed
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00am 9:00am 8:00am 9:00am 8:00am Closed Closed
5:00pm 6:00pm 5:00pm 6:00pm 5:00pm Closed Closed

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