When you fill out your forms online, our staff will be able to update and confirm your medical and insurance information before you come to the office for your eye examination. We know your time is valuable and this will help you to get back to your other committments sooner.
There are forms to be filled out for either NEW PATIENTS or RETURNING PATIENTS.
NEW PATIENT FORMS:
Click on the forms below to submit your information over a secure connection.
» Medical History
» Insurance Form
» Notice of Privacy Practices and Acknowledgement
please print and sign page three and bring to your examRETURNING PATIENT FORMS:
Please fill out the necessary form(s) if either your contact information or insurance policy have changed.
Thank you for filling out your forms ahead of time!