Patient Forms
Downloadable patient forms that you can print and fill out before your next visit to Whittington Eye Care Associates in Charleston.
For your convenience, we have created the following pages to provide you with a list of the insurance carriers we accept at our Charleston optometric office, as well several downloadable forms to save you time at your next appointment.
Downloadable Forms
- New Patient Form [PDF]
- Affordable Healthcare Act Form [PDF]
- HIPAA Notice of Privacy Practices [PDF]
- HIPAA Consent Form [PDF]
- Medication List [PDF]
- Digital Retinal Imaging [PDF]