Sussex Eye Center Patient Information and History Forms

New Patients

Joining our patient community? Please click here and complete the form before your first office visit. When you are finished, click the Submit Data button at the bottom of the Medical History tab. Also, remember to inform our receptionist that you have filled out the online demographics and history information when you arrive for your appointment.

This will save you time and make the office administration process easier. If you are filling out the information online, please remember to print the form after you are done as the information is not saved for your protection.

Existing Patients

If you have moved or any of your patient information has changed please contact our office.

We will generate a pass code allowing you to verify and update your patient information online before your visit.


If you have any problems or questions please contact the office where your appointment is scheduled:

Georgetown 302-856-2020; Longneck 302-947-2020; Selbyville 302-436-2020; Lewes 302-645-8881