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.