Online Forms

At Avery Eye Clinic, we value your time. In an effort to save you time in our office, we ask that you download and complete our patient forms prior to your appointment.

  • You will need AdobeReaderĀ® to view and download the forms.
  • Download the required forms. Print out the forms and complete the required information.
  • Fax your printed and completed forms to our office or bring them with you to your appointment.

Welcome Letter

Download & Print Form - English

Download & Print Form - Spanish


New Patient Welcome Packet

Download & Print Form - English

Download & Print Form - Spanish


Established Patient Packet

Download & Print Form - English

Download & Print Form - Spanish


Patient Demographics

Download & Print Form - English

Download & Print Form - Spanish


Financial Policy

Download & Print Form - English

Download & Print Form - Spanish


Refraction ABN

Download & Print Form - English

Download & Print Form - Spanish


Medical History

Download & Print Form - English


Notice of Privacy Practices

Download & Print Form - English

Download & Print Form - Spanish


Notice of Privacy Practices Acknowledgement

Download & Print Form - English

Download & Print Form - Spanish


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Avery Eye Clinic

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HOURS OF OPERATION

Conroe Location

Monday - Thursday
8:00 am - 5:00 pm
Friday
8:00 am - 12:00 pm
Saturday, Sunday
Closed

Huntsville Location

Monday - Thursday
8:00 am - 5:00 pm
Friday - Sunday
Closed

The Woodlands Location

Monday - Thursday
8:00 am - 5:00 pm
Friday
8:00 am - 12:00 pm
Saturday, Sunday
Closed