Horizon Eye Care Patient Forms

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At Horizon Eye Care, personalized care is our standard. To streamline your experience, we have assembled the forms most commonly requested by new and current patients. Please complete them before your visit so that we may process your information efficiently. If you do not have access to a printer, we can mail these to you, time permitting. Or, if you prefer to fill out the forms at the time and location of your appointment, please arrive 20 minutes early to allow yourself sufficient time.

If you need medical records, please fill out the Medical Records Release Form. Once completed, you may drop it off at any of our seven locations or FAX it to 704-405-4093. If you have questions, please call 704-405-4108.

Please let us know if you have any questions or if we can help you in any way. Call us during regular business hours at 704-365-0555. We look forward to serving you.

New Patient Forms:

To speed up the check-in process, please print and complete the forms (which have been combined into a single PDF) and bring them to your first appointment. You will also see a link to our Patient Privacy Policy for your review.

Patient Portal Information

Our Patient Portal provides a secure, convenient way to communicate with Horizon Eye Care 24/7. Through the portal, you can request appointments, refill prescriptions, make payments, access pre-visit forms from home, and review your medical information.

Patient Portal FAQs

What is a Patient Portal?

Our Patient Portal is a secure website that enables you to have a direct online way of communicating with our practice. You may send communications via the portal at any time (24/7), so you have the added convenience of not having to contact us only during regular business hours.

Our Patient Portal contains a wealth of general health information.

Patients love the ability to:

Access and request personal or general information
Request a non-urgent appointment, reschedule or cancel appointments
Refill prescriptions
Pay your statement online
Access pre-visit forms from home

How do I enroll in the Patient Portal?

Horizon Eye Care will initiate the enrollment process at your visit or when you call to make an appointment. After obtaining information from you, such as your email address, you will be provided with an eight-digit enrollment token number to access the Patient Portal. An email will be sent to you with a link to our Portal.

Log-In Instructions:

Open the "Welcome to our Patient Portal" email sent by Horizon Eye Care
Click the link to go to the Patient Portal
Read the Terms & Conditions and click "I Accept"
Enter your Enrollment Token Number
Enter the email address you provided Horizon Eye Care
Click Submit
Create your Username and Password
Create your login security question
Create your password recovery question and answer
Click Submit

I already have a NextGen Patient Portal account from another practice, do I need to create another one?

No, if you already have an existing NextGen Patient Portal account you can simply add Horizon Eye Care to it. You can do so by logging into your NextGen Patient Portal account and selecting "Settings" found at the top right menu bar, then select "Manage Practices". Next enter your enrollment token number provided by Horizon Eye and your email address.

As an added bonus, your NextGen Patient Portal accounts are now all in one place accessible with only one user name and password.

What browsers support the Patient Portal?

Microsoft® Internet Explorer 6.0 and higher, Mozilla Firefox® 2.0 and higher, Google Chrome, Safari, and Opera can all be used to access the Patient Portal.

What are some tips to ensure my password for the Patient Portal is secure?

Passwords should include numbers and special characters, and be between six and twenty characters. If you are given an option to save your password in your browser, do not do so. Make sure to logout after accessing the Patient Portal.

What do I do if my account is locked?

If your account is locked because you entered an incorrect password after four attempts, your account will unlock after 20 minutes.

How do I reset my password?

You can reset your password so long as you remember your user name and answers to the questions you set up upon enrollment. Other information that may be needed when resetting your password includes your demographic information, your reset token and email address. Please note – a reset token will need to be obtained by calling Horizon Eye Care at 704-365-0555 during regular business hours (Monday – Thursday from 8:00 a.m. to 5:00 p.m. and Friday from 8:00 a.m. to 3:00 p.m.).

What should I do if my Enrollment Token Number expires before I register?

If your enrollment token number expires before you get the chance to register for a Patient Portal account, please call 704-365-0555 during regular business hours (Monday – Thursday from 8:00 a.m. to 5:00 p.m. and Friday from 8:00 a.m. to 3:00 p.m.) so that we can provide you with a new enrollment token number.

How soon do I need to complete my annual forms?

In a continuous effort to improve service for our patients, and in an effort to help save you time, Horizon Eye Care offers registration paperwork to be completed online via our Patient Portal. If you have not yet enrolled with our patient portal, please contact us at 704-365-0555 during regular business hours (Monday – Thursday from 8:00 a.m. to 5:00 p.m. and Friday from 8:00 a.m. to 3:00 p.m.) to receive your unique enrollment token number. If you choose to complete your annual forms through our patient portal we would prefer that you submit completed forms 24 hours before your upcoming appointment.