Patient Forms

In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

Adult Welcome Forms

Optomap Agreement

Consent to Disclose Medical and Payment Information

15 & Under Welcome Forms

15 & Under Form: Welcome Form New Patient

15 & Under Form: Notice of Privacy Practice (HIPAA)

15 & Under Form: Entrance Symptom Checklist

15 & Under Welcome Forms for Soonercare Patients

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CORONAVIRUS INFORMATION

Harrel Eyecare continues to monitor the COVID-19 situation closely and receives updates from the CDC, the American Optometric Association, and the Oklahoma Association of Optometric Physicians. We will be making adjustments as needed on a daily and even hourly basis to provide the safest health care for our patients.

If you are experiencing a red eye, painful eye, sudden loss of vision, flashes of light, or floaters please call our office and let us know. We are continuing our business as usual at this time and can schedule a same day appointment when necessary. We wiill also be able to provide assistance over the phone, text, or email to triage your eye-related needs when you are unsure about coming in or are unable to.

We are open at our Harvard midtown location, and South Mingo locations, and closed at Downtown/Lewis, and South Memorial during this situation.

We kindly ask that if you are experiencing a fever, shortness of breath, are feeling ill or have any flu symptoms, or if you have come in contact with anyone exposed to COVID-19 you consider rescheduling your exam until you are certain you are not contagious. Please continue to do your part to prevent further spread by washing your hands regularly, covering coughs and sneezes, and practicing social distancing.