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Online Forms

At Sie Eyecare, we value your time. In an effort to save you time in our office, please download and complete our new patient form prior to your appointment.

  • You will need AdobeReader® to download and complete the form. Click below to download.
  • Download the required form. Print out the form and complete the required information.
  • Fax your printed and completed form to our office at 704.548.0077 or bring it with you to your appointment.

New Patient Health History Form – Required:

Download & Print Form

Download the Free AdobeReader®