Patient Forms
Javier R. Zamora, OD
Debbie A. Zamora, OD
Debra L. Ware, OD
Step 1 Patient Demographics Form (New and Existing Patients)
Click here to complete the Patient Demographic Form
Step 2 Medical History Form
After your demographic form has been received and processed, you will receive an email to complete your medical history form at home through our patient portal.
Patient Forms for Specialists
Ophthalmologist/Specialist patient forms. Click here if you are scheduled for to see an ophthalmologist or other specialist at our office.
If you are unsure which Doctor you have an appointment with, please contact our office by email at info@eyecare-surgery.com, by text at (512) 248-2424 or by phone at (512) 248-2424 before filling out your patient forms.