Patient Forms

Patient Intake Form

Patients coming to Cy-Fair Eyecare can prepare their paperwork before their appointment. Simply print out and complete the patient history form and bring it with you to your appointment along with your old eyewear, insurance card and photo I.D.

Patient Intake Form- English Patient Intake Form- Spanish

Medical History Form- English Medical History Form- Spanish


CareCredit Application

Worrying about not losing your eyeglasses should be the question, not how you are going to pay for it. To make that decision even easier for our patients, we offer the CareCredit ® card. Cy-Fair Eyecare partners with CareCredit to provide financing options to our patients.  To apply online, click the button below.

CareCredit Application


Notice of Privacy Practices

Notice of Privacy Practices

PROUDLY A PART OF MEMORIAL EYE CENTER

We are a member of the Memorial Eye Center network. Together we serve the diverse communities in Houston and the surrounding areas, helping our friends and neighbors see their world better.