Patient Forms

Welcome to Illinois Retina & Eye Associates

Prior to your arrival, please download and complete the New Patient Forms to expedite your check in process.

Please Note: The forms marked Fillable PDF can be completed on your computer and then printed with the information included on the form.

• Welcome Letter
• Patient Information (Fillable PDF)
• Medical History Questionnaire (Fillable PDF)
• Medications (Fillable PDF)

To learn more about your condition or other retinal diseases, please click here.