NEW PATIENT FORMS

New patients may print and complete these forms to bring to their first visit. 
If you are unable to print them, we have them available at the office when you check in.

NEW PATIENT FORMS TO PRINT

Financial disclosure click here for form 

New patient information click here for form

Medical history click here for form

Lifestyle questionnaire (Cataract patients) click here for form

Release of medical information click here for form

How did you hear about us? click here for form

VISIT US

2400 Ambassador Drive

Waco, Texas 76712

CALL US

254.756.4457

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Dr. Charles Schlecte, MD

Dr. John Liu, MD

Dr. Bryce Shutt, MD

Dr. John Quinius, MD
Dr. Charlie Schlecte, MD

Dr. Patrick Harkins, MD

Dr. Michael Rolfsen, MD