Online Forms

At Dr. Greg Wacasey, we offer patient forms online so you can complete them in the convenience of your own home or office. You may email us the completed forms or bring them with you on your next visit.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.

  • Download the necessary form(s), print it out and fill in the required information.

  • New Patient Information Form

  • DOWNLOAD
  • Financial Information Form

  • DOWNLOAD
  • Acknowledgment of HIPPA and Cancellation Policy

  • DOWNLOAD
  • AOA | Notice of Privacy Practices Form

  • DOWNLOAD​​​​​​​
Roya1234 none 9:00 am - 5:00 pm 8:00 am - 4:00 pm 9:00 am - 5:00 pm 8:00 am - 4:00 pm 8:00 am - 2:00 pm Closed Closed optometrist https://www.google.com/search?q=Dr.+Greg+Wacasey&source=hp&ei=AvpyY-n6GdaXseMP4aeEsA0&iflsig=AJiK0e8AAAAAY3MIEiGqlnhS_BV7qcOpGe-EYpiAnWvs&ved=0ahUKEwjpg966kq_7AhXWS2wGHeETAdYQ4dUDCAg&uact=5&oq=Dr.+Greg+Wacasey&gs_lcp=Cgdnd3Mtd2l6EAMyCwguEIAEEMcBEK8BMgYIABAWEB5QAFgAYPwEaABwAHgAgAFqiAFqkgEDMC4xmAEAoAECoAEB&sclient=gws-wiz#lrd=0x86363f338b9f06a5:0x67bf9de44aac791c,3,,, https://www.facebook.com/dr.wacasey/ https://goo.gl/maps/fzFM2DVn4Umw2VN47