Thank you for accessing our online forms portal.

New patients: Please click on the New Patient Page to get started.

Established patients: Please click on the New Patient Page to begin, or email qaec@qaeye.com to receive a passcode that will pre-fill previously provided information for you. The first time you use this portal, only demographic/insurance information will pre-fill. Any future visits will include pre-filled data from your last health history entries as well, so you'll only need to review the information and make changes if necessary.

New Patient Page

Existing Users

Enter passcode to edit information: