At Holicki Eye Center & Optical, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.
- 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.
- Fax your printed and completed form(s) to our office or bring them with you to your appointment.
Demographic and Medical History Form
Notice of Privacy Practice
Amsler Grid
Commonly used for Age-Related Macular Degeneration patients
Have Dry Eyes
Print Out Our Dry Eye Disease Information
About dry eyes and what you can do to help!
Having Cataract Surgery with Us?
Patients Having Surgery On A Monday
Patients Having Surgery On A Wednesday
For those of you that had cataract surgery with our clinic.
Want to share your experience?
Download and Print - Patient Testimonials
Optical Payment Policies - Refraction Fee Agreement
