Online Registration Forms

You may save time in our office on the day of your appointment by printing and completing the Registration Forms. There are 2 forms ( 4 pages ) to be completed:

Patient Financial Information - Download & Print

Personal Medical History - Download & Print

Submitting your Patient Registration

Due to the secure information requested, please do not email the completed forms.

To submit the completed forms:

  • bring the forms with you to your appointment
  • mail the forms to our office*

Dakota Eye Care Associates
1540 Humboldt Avenue, Suite 201
West St. Paul, MN 55118

*If returning forms by mail, please postmark at least 3 days prior to your appointment to ensure ample delivery time.