Patient Registration

If you are a new patient to Eyes on Magnolia, please take a few minutes to complete our secure patient registration and ocular/health history form. The information you supply will help us to better care for you and decrease the amount of time you are in our office, however, you are welcome to omit any information you prefer to discuss in person with Dr. Haack. Please note that this task may be best done on a larger screen.

If you have not yet scheduled your appointment, please contact us.

We look forward to seeing you soon!