Patient forms
Appointment Request
Request your appointment today and we will confirm with you the availability and time
New Patient Information
As a new patient we ask that you complete this initial paperwork in advance so that your visit can be more enjoyable
Individual Assessment
This simple assessment form helps us to better serve your vision needs when you visit
Returning Patient Paperwork
Returning patients please update your file with us by submitting this information
Dry Eye Assessment
If you have dry / itchy eyes, please feel free to complete this assessment form so that we can evaluate you properly on your visit
Release of Medical Records
If you need to have your existing Medical Records Released, please print and complete this form.
Privacy Policy - HIPAA
Our HIPAA Privacy Policy is readily available for you to read in detail.