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 during your check-in.
Patient Medical History Form
Download this form and bring it with you to save time during your check-in.
Patient Financial Responsibility
Download this form and bring it with you to save time during your check-in.
Notice of Privacy Practices
Download this form and bring it with you to save time during your check-in.
Authorization to Release Health Information
Download this form and bring it with you to save time during 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