Comments


At Dr. Coker Family Eye Care we would love to hear your input on how we can improve our services, and/or make your experience better. Please feel free to leave your input in the adjacent form:

         Dr. Coker Family Eye Care


New Patients


Thanks for choosing us to assist you in your eye care needs.  In order to serve you most adequately we ask you to plan accordingly.  Please fill out and print the new patient paperwork listed below.  Other items you will need to bring include: 


  • Vision Insurance Card w/ Policy Holder's Name and Social Security Number
  • Medical Insurance Card w/ Policy Holder's Name and Social Security Number
  • Pair of glasses you use most often (if available)
  • Last Contact Lens Box/Brand (previous contact lens wearers only)

Patient Forms


Please download and fill out the following paperwork and bring with you to your examination. Click here to download the form.


Por favor, descargue y rellene el siguiente documentación y llevar con usted a su examen. Haga clic aquí para descargar el formulario.


Click here to download our contact lens responsibility statement.


Click here to download our updated privacy notice.