Patient Forms & Instructions
Please select the new patient form below to print and bring to your appointment.
- New Patient Forms
- New Patient Forms with Vision Plan Insurance
- Formas de Pacientes Nuevos en Espanol
- Authorization to Release Records to Key-Whitman
Headache Medicine Patients:
To schedule your eye exam by telephone, please call us at (214) 225-2577 or choose from one of our six locations. To request an appointment on-line please click here.
Appointment Cancellation & No-Show 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.
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.
Key-Whitman requires notification 24 hours prior to your scheduled office appointment if you are needing to cancel or re-schedule. If less than 24 hours’ notice is provided, a $50 fee will be assessed. Out-patient surgeries scheduled in the surgery center will incur a $100 fee and cosmetic oculoplastic procedures scheduled in the surgery center will incur a $500 no show / cancellation fee. 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 (214) 225-2577.
Cancellation of scheduled surgeries require 24 hours notice.
Contact us for more information about any of these services. Call (214) 225-2577.
Key-Whitman Eye CenterWhy We're the Right Choice for You & Your Family
Serving Patients Since 1961
Most Insurances Are Accepted
Eligible to Conduct Clinical Trials
Convenient Locations Throughout Dallas & Fort Worth
Above & Beyond Customer Service
Extensive Experience & Advanced Technology
Free Consultations for LASIK, PRK, EpiClear & ICL Services
Service Available in Spanish, Manderin & More
TestimonialsPatients Share Their Experiences
“The instantaneous results were astounding and the discomfort minimal. I look forward to the medical care I will now expect from your facility in the future. Thanks again for my vision improvement.”- Patient
“Dr. Jeffrey Whitman’s skill in cataract surgery has allowed me to continue with my lifelong goal to climb the highest peaks in the World.”- Tedd
“When the quality of my diminishing eyesight began to interfere with the enjoyment of traveling, I knew it was time to see Key-Whitman. My husband had a wonderful experience with his cataract surgery. My first visit was wonderful also.”- Patient