Please select the new patient form below to print and bring to your appointment.

New Patient Form

Advanced Directives, Disclosure of Ownership and Patient's Rights and Responsibilities

Medical History

HIPAA Notice

En Español

Nueva Forma Paciente

Derechos y Responsabilidades del Paciente

Appointment Cancellation Policy
At Key-Whitman Eye Center, our goal is to provide exceptional eye care in a timely manner. We have implemented an appointment/cancellation policy which enables us to better utilize available appointments for our patients in need of eye care.

Scheduled Appointments
To schedule an appointment by telephone, please call us at (888) 215-1999 or choose from one of our three locations.To request an appointment on-line please click here.

Cancellations of Appointments
Please call the Key-Whitman Eye Center promptly if you are unable to attend an appointment. This time will be reallocated to someone who is in urgent need of treatment.If it is necessary to cancel your scheduled office appointment we require that you give at least 24 hours notice. You will be assessed a $25.00 fee if you fail to cancel your appointment with the minimum 24 hour notice. Available appointments are in high demand and your early cancellation will give another person the possibility to have access to timely eye care. To cancel an appointment please call us at (888) 215-1999.

Surgical Appointments
Cancellation of scheduled surgeries require 24 hours notice.

Contact us for more information about our life-changing services or to schedule an appointment, you may call .