Patient forms


Appointment Request

Request your appointment today and we will confirm with you the availability and time

Schedule Now

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

Open PDF file


Individual Assessment

This simple assessment form helps us to better serve your vision needs when you visit

Complete Assessment

Returning Patient Paperwork

Returning patients please update your file with us by submitting this information

Complete Paperwork


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

Complete Assessment

Release of Medical Records

If you need to have your existing Medical Records Released, please print and complete this form.

Complete Form


Privacy Policy - HIPAA

Our HIPAA Privacy Policy is readily available for you to read in detail.

View HIPAA Policy

 

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