Patient Forms
Save time during your visit by downloading and completing our patient forms in advance. Bring completed forms to your appointment or submit them through our patient portal.
Submit Forms OnlineDownloadable Forms
Click on any form to download a printable PDF version.
New Patients
New Patient Registration
RequiredComplete patient information form including personal details, emergency contacts, and medical history.
Medical History Questionnaire
RequiredDetailed health history including current medications, allergies, and family eye history.
HIPAA Privacy Notice
RequiredAcknowledgment of our privacy practices and how we protect your health information.
Insurance Information Form
Insurance policy details and authorization to bill your insurance company.
Contact Lens Patients
Contact Lens History
Previous contact lens wear history and current lens specifications if applicable.
Contact Lens Agreement
Agreement for contact lens wear, care instructions, and follow-up requirements.
Pediatric Patients
Minor Child Consent
Parental consent form for examination and treatment of patients under 18.
Records
Medical Records Release
Authorization to release or request medical records from other providers.
Print & Complete at Home
- 1Download the required forms
- 2Print and fill out completely
- 3Sign and date where indicated
- 4Bring completed forms to your appointment
Complete Online via Portal
- 1Log in or create a patient portal account
- 2Navigate to "Forms" section
- 3Complete forms electronically
- 4Submit securely before your visit
Tips for Completing Your Forms
Complete All Fields
Fill in all applicable fields. Write N/A for questions that don't apply to you.
List All Medications
Include prescription medications, over-the-counter drugs, vitamins, and supplements.
Know Your Family History
Eye conditions can be hereditary. Know if family members have glaucoma, macular degeneration, etc.
Bring Insurance Cards
Have your medical and vision insurance cards available to copy down policy numbers accurately.
Your Privacy is Protected
All patient information is kept confidential in accordance with HIPAA regulations.
Ready for Your Appointment?
Download your forms, then schedule your appointment online or give us a call.