Online Forms

At Coastal Family Eye Care, 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.

  • You will need AdobeReader® to download and complete the forms.
  • 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 or bring them with you to your appointment.

New Patient Health History Form – Required

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 you have regarding your eye health or vision on the form.

Download & Print Form


Download the Free AdobeReader®

Contact Us

We look forward to hearing from you

Hours of Operation

Our Regular Schedule

Orange Beach Office

Monday

9:00 am - 5:00 pm

Tuesday

CLOSED MAY 4th FOR STAFF TRAINING

Wednesday

9:00 am - 5:00 pm

Thursday

9:00 am - 5:00 pm

Friday

9:00 am - 3:00 pm

Saturday

Closed

Sunday

Closed

Pensacola Office

Monday

Closed

Tuesday

Closed

Wednesday

Closed

Thursday

Closed

Friday

Closed

Saturday

Closed

Sunday

Closed

Orange Beach Office

Monday
9:00 am - 5:00 pm
Tuesday
CLOSED MAY 4th FOR STAFF TRAINING
Wednesday
9:00 am - 5:00 pm
Thursday
9:00 am - 5:00 pm
Friday
9:00 am - 3:00 pm
Saturday
Closed
Sunday
Closed

Pensacola Office

Monday
Closed
Tuesday
Closed
Wednesday
Closed
Thursday
Closed
Friday
Closed
Saturday
Closed
Sunday
Closed

Locations

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