Patient Forms
Access our patient forms that you can fill out before your next visit to Restore Eye Care P.C. in State College
Our Forms
- Privacy Notice [PDF]
- Release of Information [PDF]
- Signature on File [PDF]
- Lifestyle Checklist Form [PDF]
- Post Vision Therapy Questionnaire [PDF]
- Electronic Media Consent Form [PDF]
Online Form Packets
New Patients
New Patient Consult (Referred)
New Patient
Vision Therapy Consultations
Vision Therapy Completed
Vision Therapy Start
New Patient Vision Therapy Consult
Established Patients