Patient Forms and Downloads | Carolina Eye Associates Southern Pines
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Forms and Downloads

For your convenience, we have made a number of forms available to view or download. These forms are in the free Adobe Reader PDF format and can be opened by clicking on the form name. If you do not have Adobe Reader® on your computer, you can download it for free by clicking here.

Patient Forms

Referring Doctor Forms

Notice of Non-Discrimination

Carolina Eye Associates, P.A. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

View Carolina Eye’s Notice of Nondiscrimination and taglines that alert individuals with limited English proficiency (LEP) to the availability of language assistance services.