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
HIPAA and Insurance Policy Form – Required
Download the Free AdobeReader®
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.