Patient Forms

To allow for a faster and smoother service when you come in to see us, you may print our forms below.

Patient Information Sheet


Signature on File

Photo Consent

Retinal Imaging Consent


At Pro-Optix Eye Care, our goal is to help make purchasing glasses, having LASIK, cataract or other surgical procedure costs more affordable. We now offer payment options that suit every financial situation.


(FSA) & (MSA)

You can now use your FSA (Flexible Spending Account) or MSA (Medical Spending Account) to pay for your eye care, optical or surgical procedures.


Financing Plans

Pro-Optix Eye Care offer financing plans available for qualified applicants. Benefits include:

  • Credit lines for current and/or future procedures.
  • 100% financing available. No down payment necessary.
  • Low interest rates.
  • Low monthly payments with options: 3 to 60 months to pay.
  • No prepayment penalty.
  • No annual fees.

We offer several options so you can choose the one that best suits your needs.


Care Credit

Apply online at CareCredit and take advantage of our special financing offer of 24 months at 0% interest! The balance must be paid in full within the 24-month term or else a penalty will apply.

Call now to schedule
an appointment OR BOOK ONLINE


Tanglewood / Galleria

5885 San Felipe Suite 550
Houston, TX 77057
Fax: 832-460-1303

Office Hours