Patient Forms

Please bring the forms with you to your appointment to assist your check in process. If you forget these forms at home, we can provide them to you when you arrive to your appointment. In addition to your paperwork, please bring your insurance card, form of ID and list of medications.

---

Eye Center of Midland and the Surgical Center of Midland Forms

• English New Patient Registration Form
• Spanish New Patient Registration Form
• Acknowledgement Form
• No Show and Cancellation Policy
• Admissions Information Form
• Medical History Form