Patient Portal

Mon - Fri: 7:30 AM - 4:15 PMSat: 9:00 AM - 2:00 PM614-451-7550Main Office2250 North Bank Dr. Columbus Ohio 43220

Please fill out our patient satisfaction survey and help us better your experience.

Save time by filling out all the new patient forms on your computer! If the button to the right does not open for you please copy and paste the following link : https://www.northwesteyesurgeons.com/documents/forms/Complete_new_patient_packet.pdf

NEW PATIENT FORM

If you’re an existing patient who needs to update their information, please download any of the necessary forms to complete in advance of your next appointment. If you have questions about these forms, please read the patient form help section.

Required for new patients

Not required for existing patients

DOWNLOAD FORM

Required for new patients

Not required for existing patients

DOWNLOAD FORM

Required for new patients

Required for existing patients

DOWNLOAD FORM

Required for new patients

Not required for existing patients

DOWNLOAD FORM

How do I fill these forms out on my computer?
How can I tell which form fields are able to be filled out on my computer?
Why does the signature field ask me to provide a digital ID?
How do I save my PDF form?
I’m viewing the PDF inside my internet browser and it won’t let me fill in the form fields. What should I do?
Where do I find a PDF reader application?
Can I e-mail my completed forms?
I can’t fill out the PDF forms. What should I do?

How do I fill these forms out on my computer?

These PDF forms are enabled to be filled out in compatible PDF reader application. If you are unable to complete the forms online, please print them and fill them in by hand, or arrive at your next appointment 15 minutes early to complete them in the office.

How can I tell which form fields are able to be filled out on my computer?

If you are using a compatible PDF reader application, the forms will probably be highlighted in a different color (in Adobe Reader they’re usually highlighted in light blue).

Why does the signature field ask me to provide a digital ID?

These PDFs are enabled to utilize Adobe’s electronic signature technology. If you have an Adobe digital ID, you may “sign” electronically. If not, you are welcome to sign the forms with a pen once you’ve printed them.

How do I save my PDF form?

If you are using Adobe Reader, you can go to File – Save As to save a copy of your complete form on your computer. If you receive a notification saying that your form answers cannot be saved, it may be as a result of an outdated version of the software.

Saving Forms

I’m viewing the PDF inside my internet browser and it won’t let me fill in the form fields. What should I do?

Many internet browsers (Internet Explorer, Firefox, Chrome, Safari, etc.) will automatically display PDF documents, however, some of the features may not be enabled, including form fields. In this case, please down the PDF file to your computer and open it with a PDF reader application such as Adobe Reader.

Where do I find a PDF reader application?

If your computer does not have a PDF reader application installed, we recommend downloading Adobe Reader.

Can I e-mail my completed forms?

For security reasons, we ask that you do not e-mail your forms. Please print them and bring them to your next appointment.

I can’t fill out the PDF forms. What should I do?

If you are unable to fill out your computer, please arrive to your next appointment 15 minutes early to complete them in the office.

This section of the site is currently unavailable as we are overhauling the online forms available. Please arrive 15 minutes before your scheduled appointment to fill out any neccessary forms.

Thank you.

PATIENT PORTAL

PATIENT SATISFACATION SURVERY

NEW PATIENTS

EXISITING PATIENTS

REVIEW OF SYSTEMS FORM

PATIENT REGISTRATION FORM

ACCEPTANCE OF PRIVACY POLICY

MEDICAL VS. ROUTINE

MEDICAL & MEDICATION HISTORY, & REVIEW OF SYSTEMS FORMS

PATIENT FORM HELP