Patient Forms

Access our patient forms that you can fill out before your next visit to Family Eyecare of Scottsdale, in Scottsdale.

Our Forms

HIPAA Privacy Acknowledgement [PDF]
Financial Policy Agreement [PDF]

“Amazing Experience
I loved my experience at The Family Eyecare of Scottsdale office. Chase was very friendly in the office and over the phone. I even called a few other offices but intuitively choice this office by the kindness of tone in voice from Chase. Then my experience with the eye technician was great. She encouraged me through some of the initial testing (the eye photographs can be tricky!) but made me feel accomplished and was so kind. Then my doctor was phenominal! Dr. Mancha really educates you and makes you feel apart of the visit. She explained so much to me and helped me understand the eye better. He kindness in spirit really makes you feel like a valued patient!!!! She helped me find the perfect prescription and even recommended daily lenses, which I am now in love with. Then, their glasses selection is AMAZING. So many great brands and lovely options to choose from!! I found the most perfect pair of glasses I could ever dream of. The technician that helped me was also so amazing. She helped explain the fit and what option would be best for my face. She was extremely knowledgeable and friendly. She explained all of my insurance information and answered any questions. Lastly, when leaving the young woman at the front desk was very kind and courteous. So grateful! Will recommend you to all of my move-ins at the apartment complex I work at. Thank you.”

Amy

Patient Forms

Access our patient forms that you can fill out before your next visit to Family Eyecare of Scottsdale, in Scottsdale.

Our Forms

Diabetes and Its Effects on Eye Health

The Many Steps to Modern Glasses