At Lakhani Vision Care, we offer patient forms online so you can complete them in the convenience of your own home or office.
Please click here to access the online patient form!
If the above link does not work, you can also download the patient form below.
You can email us your completed form to firstname.lastname@example.org, fax it to 770-509-2612, or bring it with you to your visit.
If you do not already have AdobeReader® installed on your computer, Click Here to download it now
New/Established Patient Form