Online Forms

At Coastal Eye Care, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReaderĀ® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

Patient Registration

Download & Print Form

iWellness Exam

Download & Print Form

Insurance Policy for Coastal Eye Care

Download & Print Form

Receipt of Notice of Privacy Practices Consent

Download & Print Form

Download the Free AdobeReaderĀ®

Location


Hours of Operation

Monday:

8:30 am-12:30 pm

1:30 pm-5:00 pm

Tuesday:

8:30 am-12:30 pm

1:30 pm-5:00 pm

Wednesday:

8:30 am-12:30 pm

1:30 pm-5:00 pm

Thursday:

8:30 am-12:30 pm

1:30 pm-5:00 pm

Friday:

8:30 am-12:30 pm

1:30 pm-4:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "Everyone very friendly and helpful. Always pleasure."
    Linda S. Demandforce
  • "I love everything about this practice. Dr. Hicks is wonderful, as his is entire staff. Would highly recommend them to anyone who asks."
    Eleanor R. | Google
  • "Excellent, competent and thorough examination. Helpful, pleasant staff. Wide selection of eye-wear with expert fitting."
    Mary Jane M. | Google
  • "Great people, great service! Thank you for your time and convince! Will be glad to experience it again!"
    Loderick S. | Facebook