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Online Forms

Online Forms at The Eye Institute of Wyoming in Casper and Douglas

At The Eye Institute of Wyoming, P.C., we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment. This is necessary for all new patients or any patients that have not been in for an exam in the last three (3) years.

  • You will need AdobeReaderĀ® to download and print the forms. Click here to download AdobeReader.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office at (307) 265-7500 or bring them with you to your appointment.

Download and Print Patient Registration Form (required)

Download and Print Notice of Privacy Practices Policy Acknowledgement Form (required)

Download and Print Notice of Privacy Practices Policy (optional)


New Patient Health History Form

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Download & Print Health History Form (Required)


Download the Free AdobeReaderĀ®

Contact Us

We look forward to hearing from you.

Locations

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Hours of Operation

Our Regular Schedule

Douglas

Monday:

8:30 am-4:30 pm

Tuesday:

8:30 am-4:30 pm

Wednesday:

8:30 am-4:30 pm

Thursday:

8:30 am-4:30 pm

Friday:

8:30 am-4:30 pm

Saturday:

Closed

Sunday:

Closed

Casper

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed