Online Forms

At Kennett Square Eye Care, we value your time. In an effort to save you time in our office, please complete our online patient form(s) prior to your appointment. The link below includes our Registration Form, HIPAA, Contact Lens, and Insurance policies.  Our office will provide you with your login credentials.

Online Forms for New and Existing Patients

If you cannot access our online forms, you can download and complete the printed version below.  You will need AdobeReader®.  Fax your printed and completed form(s) to our office at (610) 444-1568 or bring them with you to your appointment.

New Patient Registration – Required

Download & Print Form

HIPAA and Insurance Policy Form – Required

Download & Print Form

                                                                     Download the Free AdobeReader®

Office Policy

Please give 24 - 48 hours notice if you need to reschedule or cancel your appointment. Patients that repeatedly cancel or miss appointments on short notice may be charged a Missed Appointment fee. We understand that our patients have busy and sometimes unpredictable lives, but missed appointments take up valuable time that could have been used by another patient in need. Thank you for understanding and respecting our office policy.

Sign up for our Newsletter now


Hours of Operation

Kennett Square Office


8:30 am-5:00 pm


8:30 am-5:00 pm


8:30 am-5:00 pm


8:30 am-5:00 pm


8:30 am-5:00 pm


8:30 am-12:00 pm

Select Saturdays