Online Forms

Online Forms

Lacy Moser Boggs OD offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

 

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding your vision can we help you with? Let us know!

Download & Print Form

 


At Lacy Moser Boggs OD, we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!

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The Centers for Disease Control have recommended all routine eye care services be postponed & to continue following strict social distancing guidelines to prevent the spread of COVID-19. Because of these restrictions, we are trying to avoid having multiple people in our office at the same time. If you need to pick up anything from our office, please call before you come at 765-484-8247. If you have an ocular emergency, please feel free to contact us.