Patient Forms

Welcome to Holly Springs Eye & Laser! To ensure our patients get the best care possible, we require basic information on background health and general medical history.

Please fill out both the patient info form and the medical history form before your appointment to save time and ensure a smooth and easy process. 

Questions? Reach out online or call our office at 919-689-8920

Ready to Schedule Your Appointment?

Fill out the form to send us a message. Or, you can text or call 919-689-8920.

*All indicated fields must be completed.
Please include non-medical questions and correspondence only.

All Locations

Holly Springs Eye and Laser

We’re proud to serve patients seeking advanced eye care from across Wake, Harnett, Cumberland County and around the country.

Holly Springs Office

Mon-Thu: 8:30 AM - 4:30 PM
Friday-Sun: Closed

919-689-8967

Fayetteville Office

Mon-Thu: 8:30 AM - 4:30 PM
Friday-Sun: Closed

919-689-8967

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