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20% OFF Complete Pair of Eyewear

Cannot be combined with insurance plans

Patient Forms

At Brighton Eye Care, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReaderĀ® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office at (207) 797-0990 or bring them with you to your appointment.

New Patient History Form

Download & Print Form

Insurance Authorization Form

 Download & Print Form

Privacy Policy Acknowledgement

Download & Print Form

Record Release Form

Download & Print Form


Download the Free AdobeReaderĀ®

Contact Us

We look forward to hearing from you.

Location

From the exit ramp of Maine Turnpike Exit 53 (formerly exit 10),
turn left onto Route 100 (Gray Road). Head 1/10th of a mile north
and turn left onto Leighton Road at the traffic light. We are approximately
2/10ths of a mile on the right.

Hours of Operation

Monday:

8:30 am-5:00 pm

Tuesday:

8:30 am-5:00 pm

Wednesday:

8:30 am-5:00 pm

Thursday:

8:30 am-5:00 pm

Friday:

8:30 am-4:00 pm

Saturday:

Closed

Sunday:

Closed