Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out this form ahead of time you will save significant time at the time of your visit. 

• Download Patient Information (Demographics) Form

• Download Patient Health History Form

If you do not have a copy of Acrobat Reader you can get one for free by clicking on the icon, or  'Get Acrobat® Reader'.  This will take you to Adobe's website and enable you to download the Acrobat program to your computer.

To schedule an appointment, call us at: (816) 531-9100 or toll free (877) 828-2373.

Tauber Eye Center
4400 Broadway
Suite 202
Kansas City, MO 64111

[ Click for Map & Directions ]

For general information, complete the form below and it will be directed to the appropriate individual within our office.

Please Note - E-Mail is not an emergency means of contacting our office.

Name Address Suite City State Zip Phone Fax E-Mail Comments Please enter in the characters shown below. Having a hard time reading? Move your mouse over the speaker...          Please be aware that this is a non-secure communication.