Office Forms

You can download useful forms and resources digitally here before or after an appointment. Please contact us if you need any assistance. 


Consent to Provide Care and Bill Insurance

Contact Lens Service Agreement

MiSight Program Agreement

Records Release to Holt Eye Care

Records Release from Holt Eye Care

InfantSEE Office Form

Retinal Health Bundle

Eyewear Acknowledgment

 Draper Eyewear Combined Logo -



Holt Eye Care was established in 2002 by the husband and wife team of Dr. Brian Houser and Dr. Amy Cousineau. They both desired a practice where a friendly, community-focused atmosphere would be... READ MORE


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