Patient Forms and Policies

Forms1

Preparing Your Forms

To save you time at your first appointment, our patient forms are available here for download. We recommend that you print and complete each form before arriving. Simply click each form below to access the document.

These forms are also available on our secure Patient Portal. If you are using the Patient Portal, the forms may be emailed to our office prior to your visit.

You may call our office if you have any questions while completing your forms.

Remember to bring:

1)  Your Insurance Card(s)
2)  Your valid Driver’s License or Photo ID
3)  List of All Medications you are currently taking
4)  Your Eyeglasses and/or Contact Lenses that you currently use


We look forward to providing you with quality eye care, from your examination to all of your optical needs!

PatientInfo1   Patient Information
 
MedicalHistory2   Medical History
 
RefractionForm1   Refraction Form
 
Policy Form   Policy Form
 
RecordsRelease1   Records Release
 
PrivacyPolicy1   Privacy Policy
 

Privacy Policy

Our Patient Information form makes reference to your acknowledgment of our Privacy Policy (HIPAA). Please take a few minutes to read this policy. A PDF version of our Privacy Policy brochure is available above. Click on the cover image to view the brochure document.