Online Forms

At Geiger Eye Care, we offer patient forms online so you can complete them in the convenience of your own home or office.

New Patient Registration Form – Fill Out Online or Download & Print

HIPAA Disclosure – Read and Sign Online

If you do not have AdobeReader® installed on your computer, Click Here to download.

Geiger Eye Care

We will do our best to accommodate your busy schedule. Request an appointment today!

Request Appointment

Please complete this form to request an appointment. Please note that you do not have an appointment until you receive confirmation from us. Thank you!

Geiger Eye Care

Online Forms

Geiger Eye Care

Altus Office

Elgin Office

Frederick Office