---
title: Optometry Patient Registration Form Template - New Patient Intake | Paperform
description: Complete optometry patient registration form template with vision insurance, eye health history, and contact lens consent. Streamline new patient intake for your eye care practice.
url: "https://paperform.co/templates/optometry-practice-new-patient-registration-form"
type: static
generatedAt: "2026-03-28T00:44:41.518Z"
---

[← Back to free form templates](/templates/)    ![Optometry Practice New Patient Registration Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/optometry-practice-new-patient-registration-form.png)
    [Preview](https://_preview.paperform.co/ai-template/optometry-practice-new-patient-registration-form) [Use this template for free](/create?ai-template=optometry-practice-new-patient-registration-form)    [Registration Forms](/templates/category/registration/) [Healthcare](/templates/industry/healthcare/) [Small Business Owner](/templates/role/small-business-owner/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Optometrist](/templates/role/optometrist/)     About this free form template
### Streamline Your Optometry Practice with Professional Patient Registration

Managing new patient intake is one of the most time-consuming yet essential tasks for any optometry practice. Paper forms lead to illegible handwriting, missing information, and manual data entry that slows down your front desk staff. This **Optometry Practice New Patient Registration Form** by Paperform transforms your intake process into a smooth, professional digital experience.

#### Built for Optometrists and Eye Care Professionals

This template captures everything you need before a patient's first appointment: comprehensive contact details, vision insurance information, detailed eye health history, current vision concerns, and consent for contact lens trials. The form's conditional logic ensures patients only see relevant questions—for example, contact lens wearers are asked about their current brand and wearing schedule, while those with vision insurance can provide all necessary policy details.

#### Save Time and Reduce Errors

With Paperform's document-style editor, you can customize this template to match your practice's branding and specific requirements. Connect submissions directly to your practice management software using **Stepper** workflows, automatically creating patient records, sending appointment confirmations, and triggering follow-up sequences. The built-in eSignature capability via **Papersign** means you can seamlessly collect consent for contact lens trials and other procedures without printing a single page.

#### Professional, HIPAA-Aware Design

While Paperform is not HIPAA compliant, this template follows healthcare best practices for collecting patient information securely. The clean, mobile-friendly design makes it easy for patients to complete registration from home before their appointment, reducing waiting room time and improving the overall patient experience.

Whether you're a solo optometrist or managing a multi-location practice, this template helps you deliver the professional, efficient service your patients expect while giving your staff more time to focus on exceptional care rather than paperwork.
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