New Patients

Expedite the registration process

In order to better serve you, please click on the links below to download our patient information forms. If you should have any questions, please call us at 402-395-2082.

The completed forms can be brought in at the time of your appointment. Thank you!

New Patient Form

Financial Responsibility Form

Notice of Privacy Practices

Records Release PEC

Schedule a Visit

Whether you simply want to schedule an eye exam, or you’re experiencing a more urgent eye care issue, we’ll make sure you receive the service and attention you need. Schedule an appointment with Palmer Eye Care.