Patient Forms

At Victor Eyecare, we value your time. In an effort to save you time in our office, you can print out and complete our patient forms prior to your appointment.

  • You will need AdobeReader® to access the forms.  Below is a link for downloading Adobe Acrobat Reader.
  • Print out the forms and fill in all required information.
  • Bring your completed forms with you when you come for your appointment, or fax them to us in advance to 623-977-9007, attention:  Miriam.

New Appointment Scheduling Notification as of July 1, 2021:

At Victor Eyecare, we have always scheduled appointments in a way that keeps your wait to a minimum and gives you maximum time with our medical staff.   As a practice, we call to remind you several days prior to your appointment and confirm that you will be in attendance.   We understand that emergency situations do occur.  Unfortunately, we have been seeing an increasing number of “no shows.”  This unexpected gap in the schedule affects our staff, as well as other patients waiting for an appointment with Dr. Victor.  

If you are unable to keep your scheduled appointment, we respectfully request that you notify our office by calling 623-977-9000 48 hours in advance, or 72 hours prior if your appointment is on a Monday.  If you do not provide ample notification as stated, Victor Eyecare will charge a “no show” fee of $30.00 per patient. Thank you for your understanding.

Download, Print and Complete the following forms:

Patient Registration

Medical History

Privacy Practices

Download the Free AdobeReader®

Victor Eyecare

Office Hours Monday - Friday 8:00 am - 4:30 pm

Hours of Operation


Victor Eyecare Office Hours

Monday - Friday:

8:00 am - 4:30 pm

Saturday, Sunday: