New Patient Forms
Eye Care for Animals is available to assist you and your veterinarian with treatment of your pet's eyes. While you may contact us by phone, we encourage your veterinarian to use the attached forms. This will provide a record of your pet's medical history and any previous treatments.
Please click on the link below and print and fill out the new patient forms. Then fax, mail, or hand deliver it to the facility your appointment is scheduled at or the Eye Care for Animals practice that is nearest you.
New Patient Forms Packet
If you have trouble downloading the forms above, please download the latest version of Adobe Reader.
Payment
Eye Care for Animals offers many options for payment. In addition to cash, personal checks, all major credit cards, and CareCredit, Eye Care for Animals also offers convenient financing through an independent company, Wells Fargo Financial. For more information on Wells Fargo, please ask one of our Client Care Representatives.
Wells Fargo Financial is a flexible patient/client payment program, specifically designed for healthcare expenses that makes it easier for you to get the procedures or treatment for your pet. Wells Fargo offers many no interest and revolving payment plans for treatment costs of $300 to $25,000 Please contact the ECFA location nearest you and ask about the Wells Fargo plans that we have available. To apply for Wells Fargo from the comfort of your home, please click here: Wells Fargo Application