You can print these forms, complete them before your visit to our office and bring the completed forms when you come in for your appointment to save time at check in.  Please note that these forms cannot be completed online and they should not be emailed or sent to our office ahead of your appointment due to HIPPA security.

Patient Information

HIPAA Release Form


Carolinas Centers for Sight complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.