Get New Patient Form - Envision Optometry Boston 2020-2025

Completing the New Patient Form for Envision Optometry Boston is an essential step in preparing for your appointment. This guide will provide clear and supportive instructions to help you fill out the form accurately and efficiently online.

Follow the steps to complete the New Patient Form online.

1. Press the 'Get Form' button to access the New Patient Form and open it in your preferred editor.
2. Begin by entering today's date at the top of the form. This is necessary for record-keeping and scheduling purposes.
3. Fill in your personal information, including your last name, first name, middle initial, and address (street, city, state, zip code). Include your home and work phone numbers, social security number, employer or school, occupation or grade, as well as your spouse or parent's name and work information.
4. Indicate your date of birth and select your gender from the provided options. Include your email address for appointment confirmations and communications.
5. Complete your insurance information section. Fill out the details for your vision and primary medical insurance, including subscriber names, social security numbers, and birth dates. Remember to indicate if you participate in a flex spending account.
6. Provide details about the major purpose of your visit and any problems you may have with your current contact lenses or glasses. This information is crucial for your eye evaluation.
7. Next, answer the lifestyle questions accurately. This section includes inquiries about your medical history, current medications, allergies, and past surgeries.
8. Fill out the patient eye history section. Answer whether you currently wear contact lenses and indicate your satisfaction with them, as well as any family medical history relating to eye conditions.
9. Review all your entries for accuracy. Once you have completed the form, you can save, download, print, or share it as needed.

Get started by filling out the New Patient Form online today!