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Patient Registration 

At Rogers Family Eye Care, we value your time. In an effort to save you time in our office, you can access your patient registration forms via our online patient registration portal or by downloading and completing our patient form(s) prior to your appointment. These forms will let us know the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.


Click Here to complete online patient registration using the Patient Portal:



Printed Patient Registration Forms:

  • You will need AdobeReader® to download and complete the forms. Click here to download.

  • Download the required form(s). Print out the form(s) and complete the required information.

  • Bring your completed form(s) with you to your appointment.

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