Patient Forms

Patient Information Forms

You may download and complete new patient forms prior to your scheduled appointment. Be sure to print, sign and complete all pages.  Bring all completed patient information forms with you to your appointment.

We also offer editable pdf patient forms you can complete by typing your information from a computer, print and sign.

LASIK Evaluation Forms - Patients that recently scheduled a LASIK exam, please download and bring this completed form with you on the day of your appointment. Click here to download Patient LASIK Evaluation Form. You can also download this editable pdf LASIK eval. form to complete by typing your information from a computer, print and sign.

Financing Available

Financing is now available at 0% Interest for *qualified Shofner patients. *Applicants must be 21 y/o or older. Other restrictions may apply.

$100 to $999 6 Months 0%
$1000+ 12 Months 0%
Additional Payment Options Are Available

Contact our office or Apply Online at Care Credit today.

HIPAA Policy

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules. Understanding Health Information Privacy rules.  Read Shofner Vision Center's  HIPAA Policy.

Patient Survey Forms

As a patient of Shofner Vision Center, we encourage you to provide us feedback in your past visit or surgery experience. We offer two downloadable forms you can print and mail to our office at: 2021 Church Street, Suite 300, Nashville, TN  37203 or you may choose to FAX the completed survey at (615) 340-4734.

Share Your Shofner Experience Online

Have a comment, suggestion, or feedback on your experience with Shofner Vision Center? We encourage you to share your comments on any of the following online review sites below or choose your personal review site: 

Nashville BBB
Google Bing Yelp
Insider Pages Nashville Citysearch Yahoo!