Patient Forms

Please click here to register online
OR print the following forms and bring them to your appointment with you.

Patient Registration Form/Medical Questionnaire

Release of Information

Medication Sheet

The following documents are for you to read regarding patient privacy.


Identity Theft Policy

Patient Rights/Advanced Directives

These forms require a PDF reader, click here to download Adobe PDF Reader

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eye & laser institute

Lincoln Eye & Laser Institute
755 Fallbrook Blvd. Suite 205
Lincoln, NE 68521
Toll Free 800.726.2647
Local 402.483.4448
Fax 402.483.4750

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At Lincoln Eye & Laser Institute, we pride ourselves on achieving your best vision and offering a warm, inviting, and friendly environment where the patient is our most important priority.

BBB Accredited Business