Patient Forms

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment. So that we may better assist you in a timely manner, we ask that you bring the following to your appointment and arrive 10 minutes prior to appointment time to allow for the check in process:

1.   Driver's license or other photo ID;

2.   Current health insurance card(s)    

  Medical Record Requests can be made by faxing a release to 205.397.9455 . Medical Records Department # : 397.9430

Downloadable Forms: 

 Thank you for your confidence in our office, we look forward to assisting you with all of your eye care needs. 

New Patient Forms Notice of Privacy Practice  Refraction increase

Release of Records FROM AL EYE Release of Records TO AL EYE

 

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.