New Patient Forms

By printing out and completing your New Patient Forms before your first visit you can expedite your visit with Bluegrass Eyecare Center.

These forms must be complete before you see a provider.

Please call our office to set an appointment (859) 278-8443.

Patient Forms

HIPAA Privacy Policy
Medical Consent Form
Financial Policy
Patient History Questionnaire

Viewing these forms require the FREE Adobe Acrobat Reader