Belmont Eye - Dr. Wruble Downtown Belmont, NC Eye Exams
Electronic Forms
For new patients, please print and complete the New Patient Form.

If you would like to understand our privacy policies, we have included a copy of our HIPAA Notice of Privacy Practices for your review.

If you would like to consent to disclose your health information with another party (e.g. a family member), please print and complete the Consent to Share Health Information form.