Your First Appointment at Sneed Eye Associates

Thank you for choosing Sneed Eye Associates where our goal is to provide you with exceptional care without exception.

In preparation for your first appointment, you will complete certain forms. These forms provide us with valuable information about your medical needs and help us accurately handle your records.

Insurance Information:

On the day of your appointment, bring your insurance and/ or Medicare cards with you. If your insurance requires a referral, please request one from your primary care physician prior to your appointment.

Fill Out and Bring With You:

You can fill these forms out during your visit or, to save time, you can print these files, fill them in, and bring them with you to your appointment.

Patient Registration and Insurance Record

Medical History Questionnaire

Refraction Service and Fee

Consent for Release of Protected Health Information

Privacy Practices Notice Receipt & Authorization for Release of Medical or Financial Information & Cell Phone Policy Acknowledgment