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252-247-4661
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Exclusive Offer

New patients receive 15% OFF* first visit.

*Complete Eye Exam for New Patients. Some exclusions may apply.  Call for details.

Sign-up using the form or call us at 252-247-4661 to take advantage of this exclusive offer.

For new and returning patients, we ask that you please print out the form below and fill it out and either fax or bring in with you on your visit.

New Patient Registration Form
This form is for first-time patients. Filling out this form online will save you time on your first office visit. Please print out the form and fill it out and either fax or bring in with you on your next visit.

Established Patient Registration Update
If it’s been a while since you’ve been in to see us, please update your patient profile by completing this form. Please print out the form and fill it out and either fax or bring in with you on your next visit.

In compliance with HIPAA, Carteret Vision Center has established a Notice of Privacy Practices which tells you how we protect your private health care information.

(Please print out the form and fill it out and either fax or bring in with you on your next visit.)

Financial Policy
Addendum for Minors
To Our Patients with Insurance


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Our patient forms are available online so they can be completed in the convenience of your own home or office.