Patient Forms

Access our patient forms that you can fill out before your next visit to Cocheco Eye Care in Dover.

For NEW patients, please print and fill out ALL of the following forms (unless otherwise marked) Thank you!

Registration Form [PDF]
Optomap® Consent Form [PDF]
Privacy Practices [PDF] (No need to print this one! Just for you to review and sign the bottom of the registration form that you have seen our Privacy Practices)
Contact Lens Policy [PDF] (Only mandatory for contact lens wearers or those interested in contacts)