Patient Forms | Memorial Eye Institute | Harrisburg | Memorial Eye

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Patient Forms

For your convenience, we have made a number of forms available for patients to download. If you are new to our practice, we encourage you to download and print out the new patient forms. Filling these out in advance of your first visit will minimize the time you spend in the waiting room filling them out when you get here. Other forms are informational. If your doctor has given you a form with specific information or instructions different from the information on these online forms, rely on the information given to you by your doctor, not on the online forms. If you’re not sure which forms you need, please call 717-657-2020 for assistance or Click Here to Contact Us.

If you’re unable to open these files, you probably need to download the free Adobe Acrobat Reader program, which is available at the following location: https://get.adobe.com/reader/.

Click on the forms you would like to download:

COVID-19 Updates from Memorial Eye Institute

The Coronavirus (COVID-19) outbreak is affecting everyone in our community, and we are committed to keeping you informed.

During this rapidly changing situation, we will continue to update this page with the latest information on our schedules and plans.

Memorial Eye Institute has closed its offices for non-urgent, non-emergency care appointments until further notice. We are open for emergent and urgent ocular care so as to avoid further overwhelming local emergency services.

Memorial Eye Institute is committed to the safety of our team, our patients, and the community. We are facing this together, and we all have a role to play in helping each other and keeping each other safe.