CLEAR VIEW EYE ASSOCIATES
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  • Our Practice
    • Meet the Doctor
    • Covid 19
    • Community Involvement
    • Employee Access
  • Specialties and Services
    • Comprehensive Eye Exams
    • Dry Eye Education and Treatments
    • LipiFlow
    • Blepharitis and Demodex
    • Emergency Services
    • Orthokeratology
    • Surgical Vision Correction Procedures
    • Eye Care Articles
  • Fashion Eyewear
    • Prescription Lens Technology
  • Information for Patients
    • What to Bring to Your Visit
    • Forms
    • Policies
    • Insurance and Payment Information
  • Locations and Hours

forms

Please print and complete these forms prior to your visit especially if you are a new patient.
This will speed up the check in process and allow you to be seen as soon as possible.


If you have any questions regarding these forms please contact us. Also please be aware that you may be asked to complete additional forms once you arrive for your appointment if needed. 
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Patient Forms
File Size: 281 kb
File Type: pdf
Download File

  • PLEASE PRINT SINGLE SIDED ​
  • If you have previous records of your eyeglass or contact lens prescription please have them faxed to our office before your appointment.
  • If you have any old glasses (even broken pairs) or old contact lens boxes please bring them with you as well. We use this information to supplement your history.
  • ​A parent or legal guardian must sign these forms for all patients under age 18.
     

Contact us


550 Main St. 
Woburn, MA 01801
Phone: 781 - 935 - 1025
Fax: 781 - 933 - 6110
8 Andover Rd.
Billerica, MA 01821
​Phone: 978 - 663 - 3100 
Fax: 978 - 663 - 1490
Notice of Privacy Practices
Website by Eyefinity

Our web site is meant as a patient education and information resource and strictly does not provide medical advice, suggestion, or a diagnosis.
The material contained on this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. 
Each case is unique and must be handled by a professional. Always seek the advice of your physician or other qualified health care provider.

All videos and images are the property of their respective creators and do not belong to Clear View Eye Associates, P.C.

If you have questions regarding anything you have seen here please call us, we are happy to help!
  • Home
  • Our Practice
    • Meet the Doctor
    • Covid 19
    • Community Involvement
    • Employee Access
  • Specialties and Services
    • Comprehensive Eye Exams
    • Dry Eye Education and Treatments
    • LipiFlow
    • Blepharitis and Demodex
    • Emergency Services
    • Orthokeratology
    • Surgical Vision Correction Procedures
    • Eye Care Articles
  • Fashion Eyewear
    • Prescription Lens Technology
  • Information for Patients
    • What to Bring to Your Visit
    • Forms
    • Policies
    • Insurance and Payment Information
  • Locations and Hours