Patient Forms

Downloadable patient forms that you can print and fill out before your next visit to Cherokee Eye Group in Canton.

For your convenience, we have created the following pages to provide you with a list of the insurance carriers we accept at our Canton optometric office, as well several downloadable forms to save you time at your next appointment.

Downloadable Forms

            Please follow the guidelines in parenthesis to determine which forms you will need to fill out prior to your visit.

•  Patient Information Form (New Patients or Patients that have not been seen since June 2012)
• Patient History Form (New Patients or Patients that have not been seen since June 2012)
• Financial Policy (All Patients)
• Privacy Policy (New Patients or Patients that need to update their information)
• Medicare Patients Please Complete This Form Also (Every Exam)
• Medical Records Release Form