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“Who ever loved that loved not at first sight?” — William Shakespeare

New/Established Patients

Little Rock Eye Clinic knows your time is valuable, so all essential forms are available online for you to fill out prior to your appointment.  If you need further information or are unsure which form you need, please contact us.

New Patient Forms

In an effort to expedite the registration process, you may click on the appropriate New Patient Packet link below in order to print and fill out the paperwork prior to your appointment.  A link to our Records Release Form is also available to print and fill out

What to Bring When You Visit
New & Returning Patients

As your medical care provider, we are interested in ways we can best serve you. Please take time to read the instructions below as they will affect how we can care for you.

Please bring your current insurance card with you to each visit. Updates are required at each visit.
If your insurance requires a referral, please arrange for this with your primary care physician prior to your appointment time.
If your insurance requires that you pay a co-pay, you will be expected to pay at your appointment time.
Bring a list of your current medications and current eye glasses.
If you have a vision plan for routine eye care, please call our office before your visit.
Contact lenses and fitting fees may be incurred during your visit and are not generally covered by insurance. You will be required to pay for these at your appointment time.
Wear your contact lenses to your appointment. Bring your current eye care solutions with you.
If the patient is a minor (under the age of 18) they must be accompanied by a parent or guardian.

Little Rock Eye Clinic

201 Executive Ct
Little Rock, AR 72205
Phone: (501) 224-5658
Toll-Free: (800) 537-8054
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Little Rock Eye Clinic // WEST

4200 N. Rodney Parham Road
Suite 101
Little Rock, AR 72212
Phone: (501) 687-0800
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Little Rock Eye Clinic // NORTH

4104 Richards Road
North Little Rock, AR 72117
Phone: (501) 224-5658
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