New Patient Form

Online Forms

At Spectrum Eye Care, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.


  • New Patient Intake Form (English)

  • DOWNLOAD

  • New Patient Intake Form (Spanish)

  • DOWNLOAD

  • Existing Patient Form (English)

  • DOWNLOAD
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Roya1234 none 9:30 AM - 6:00 PM 10:00 AM - 5:00 PM 9:30 AM - 6:00 PM 10:00 AM - 5:00 PM 9:30 AM - 6:00 PM Closed Closed 10:00 AM - 5:00 PM 9:30 AM - 6:00 PM 10:00 AM - 5:00 PM 9:30 AM - 6:00 PM Closed 10:00 AM - 3:00 PM Closed optometrist # # # https://www.google.com/maps/place/Spectrum+Eye+Care/@29.8642745,-95.6073046,18.32z/data=!4m19!1m13!4m12!1m4!2m2!1d120.9171968!2d14.352384!4e1!1m6!1m2!1s0x8640d08653886e67:0x9ec3675fb37f11fa!2sspectrum+eye+care!2m2!1d-95.6063635!2d29.8643414!3m4!1s0x8640d08653886e67:0x9ec3675fb37f11fa!8m2!3d29.8643414!4d-95.6063635 7136908439 https://www.google.com/maps/place/Spectrum+Eye+Care/@29.8491386,-95.5092659,14z/data=!4m12!1m6!3m5!1s0x0:0x551058f5cb9e1b39!2sSpectrum+Eye+Care!8m2!3d29.8527763!4d-95.5064747!3m4!1s0x0:0x551058f5cb9e1b39!8m2!3d29.8527763!4d-95.5064747?hl=en spectrumtidwell@yahoo.com 7758 W. Tidwell Ste 124
Houston, TX 77040 https://www.4patientcare.ws/v5dn/ws/wsv3p.aspx?CoverKey=5800&TaskKey=&LocKey=14878&V4Scenario=3&Source=website&ReferredBy=website