Patient Forms

For Your Convenience,
Please print and complete these patient registration forms at home before your appointment and bring them with you to your first visit along with Insurance Card(s), All Prescription Glasses you currently wear and Contact Lens Information (if you are a contact lens wearer).

We accept same day appointment and walk-in are welcome.
​

• Patient Information Form
• Patient Medical History Form
• HIPPA Acknowledgment Receipt and Policy

​
[NOTE: This PDF requires a free plugin that may have come included with your browser. If you are having difficulties opening this file Click Here to go to Adobe's web site for Acrobat Reader.]