Patient Registration

Pre-Register Online

Please take a moment to fill out the new patient registration information by clicking the link below. We encourage you to complete as much of the information as possible to save time and to help the doctor and staff be better prepared for your visit.

Download to Print Forms

Information / Health History Form

Patient Financial Responsibility & Assignment Of Benefits Form

HIPAA Form

Consent to Treat a Minor Form

Download All Forms

What you will need

Personal demographic information

Health history information

Medication information

Please remember to bring your medical and vision insurance cards as well as a picture ID with you to the visit.

What to expect on your
first appointment

Learn More
Vision First Eye Center Louisville Ky

Find an Office
Near You

Find an Office

Copyright © 2020 VisionFirst.

All Rights Reserved.

Powered by Redtag.digital