Eye Care Services

new patient forms

New Patient Forms

Welcome to the Modern Eye Care family! We are always happy to have new patients join our practice and look forward to seeing you soon. Please plan to arrive at least 15 minutes before your appointment time to complete your new patient forms. For your upcoming appointment, please be sure to bring your current insurance card and any existing glasses you currently wear (regular, computer, sunglasses, reading glasses, older spare glasses, etc.).

To simplify the administrative part of your appointment, we are happy to offer new patient paperwork online for those patients interested in completing the form in advance.

Print the forms now and bring the completed copy with you at the time of your appointment, please download the appropriate form below.

New & Current Patient Form

Contact Lens Medical Management Agreement.

Modern Eye Care Concord

Concord Office

5325 Vining Street, Suite 202

Concord, North Carolina 28027

Phone: 704-792-2777

Fax: 704-706-9406

Emergency After Hours: 704-433-3250

Email: info@moderneye.com

Office Hours

Lunch Hour 12:30-1:30 p.m. Mon-Thurs

Monday, 9:00 am to 6:00 pm

Tuesday, 9:00 am to 6:00 pm

Wednesday, 8:00 am to 5:00 pm

Thursday, 8:00 am to 5:00 pm

Friday, 7:30 am to 1:00 pm

Modern Eye Care Concord

Salisbury Office

223 Faith Road

Salisbury, NC 28146

Phone: 704-637-7728

Fax: 704-636-4284

Emergency After Hours: 704-433-3250

Email: info@moderneye.com

Office Hours

Monday, 9:00 am to 5:00 pm

Tuesday, 9:00 am to 5:00 pm

Wednesday, 9:00 am to 5:00 pm

Thursday, 9:00 am to 5:00 pm

Friday, 9:00 am to 2:00 pm

Like Us on Facebook