Online Forms

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At VisualEyes – Tuscaloosa, Demopolis, and Fayette, 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.​​​​​​​

Demographic History

Info Release to Family Form

Patient Health History

VisualEyes Billing Policy

Financial and Office Policies

Using AdobeReader®

  • 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.