Patient Information

New Patient Forms

Save Time By Bringing the Following Forms

For your convenience, we have our required patient forms available for you to download, print, and complete.

Patient Registration Form

Download this form and bring it with you to save time durring your check-in.

Patient Medical History Form

Download this form and bring it with you to save time durring your check-in.

Release of Information & Privacy Practices

Download this form and bring it with you to save time durring your check-in.

Patient Financial Responsibility

Download this form and bring it with you to save time durring your check-in.

Authorization of Privacy Practices

Download this form and bring it with you to save time durring your check-in.
Information

Additional Patient Information

Office Policies

Please review our office policies to familiarize yourself with our practice.

Initial Visit

Rock Hill Eye Center always welcomes new patients. Here is some information that you will need to know prior to your first visit.

Payment Info

LorRock Hill Eye Center accepts a variety of medical insurance carriers and payment options. See which option works best for you.

Contract Carriers/Accepted Insurance

Rock Hill Eye Center accepts a variety of medical insurance carriers. Contact us if you have a question regarding whether we accept your medical insurance.

Have a Question?

Talk to our Staff

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