Dear Valued Innovative Eyecare Patient,
Your safety is our top priority during these unprecedented times. There are several precautions we are taking to make sure you are safe during your visit to Innovative Eyecare.
What to know before you arrive:
If you are a new patient, we request that you fill out your paperwork online before your appointment. You will do this by downloading the attached document on this email, printing it and filling it out, and sending it back to us via email at email@example.com
Call us when you arrive, and we will let you know when to come in the office. Someone will take your temperature with a non-contact thermometer before you enter the office. If YOU or A FAMILY MEMBER has been sick, please let us know 48 hours before your appointment so we can reschedule.
Every person that enters the office must wear a facial covering such as a mask, bandana, scarf, or other cloth. If the patient does not have a mask, one will be provided for them, while our supplies last. Face masks will be required at all times while in the office. The patient will be required to wash their hands upon entrance of the office.
Please limit personal items brought inside the practice (mugs, purses, bags). We ask that you not use your cell phone while in the office due to the fact that cell phones carry 10 times more bacteria than most toilet seats
(We know, gross and shocking! But, true.) Unless the patient is a minor or has a caretaker, we ask that only the person requiring the exam services enters the office. If multiple family members are being seen, one at a time will enter the office.
Only fill out the forms below if you are a NEW PATIENT.
Instructions for filling out the documents:
- Print this document
- Fill the documents out with pen
- Take a photo with your phone OR scan (if you have access to a scanner) the documents
- Email them to us at firstname.lastname@example.org
- Download this document
- Type your responses on this document (Can be difficult in PDF)
- Email this document back to us at email@example.com
Printable Form (PDF)