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Medical History Form

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Last updated: December 16th, 2024

Complete your new patient forms online before your appointment and enjoy a faster check-in process. Our HIPAA-secure platform ensures your information is protected while allowing you to submit everything conveniently from home. The process typically takes 10-15 minutes.

Prefer paper? You can also download the form here to bring with you instead.

The Doctors at Summit Eye Care of Wisconsin have either authored or reviewed and approved this content.
Summit Eye Care of Wisconsin