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Patient Forms

Downloadable patient forms that you can print and fill out before your next visit to Advanced Family Eyecare in Oklahoma City.

For your convenience, we have created the following page of several downloadable forms to save you time at your next appointment. Please print, complete, and email forms to info@afeyecare.com at least 24 hours before your scheduled appointment.

Downloadable Forms


Adult History Package – English [PDF]

Adult History Package – Spanish [PDF]

Child History Package [PDF]

Performance Summary – English |PDF|

Performance Summary – Spanish |PDF|

Report Request Form [PDF]

Vision Rehab Questionnaire [PDF]

Diagnosis Codes & Fees


CPT Code Descriptions [PDF]

Diagnosis Code Descriptions [PDF]