Patient Forms

Downloadable patient forms that you can print and fill out before your next visit to Azle Vision Source in Azle.

For your convenience, we have created the following pages to provide you with a list of the insurance carriers we accept at our Azle optometric office, as well several downloadable forms to save you time at your next appointment.

Downloadable Forms

• Eye Health and Medical History Form
• Emergency Examination Form
• Notice of Privacy Practices
• (SIGN) Acknowledgement of Notice of Privacy Practices