Patient Forms


NOTICE OF PRIVACY PRACTICES

PATIENT REGISTRATION FORM

MEDICAL HISTORY QUESTIONNAIRE

Contact Lens Services & Fees 

Exam Consent (Refraction) for Glasses

 

You can save time in the office by completing BOTH required forms marked in RED before your appointment. These are two (2) separate forms so be sure you fill out each one and print both of them and bring them with you to your appointment.

These forms can be filled out online, then printed to bring with you to your appointment. If you’d prefer, you can print them, then complete them by hand.