Fill Out Our
Patient Forms
To ease your check-in process, you may print the following PDF forms on a computer and fill them out at your convenience prior to your comprehensive eye exam.
Also bring:
- Driver’s license
- Insurance cards
- Medication list (name, dosage)
- Current glasses, if applicable
Adult’s Health History
Child’s Health History
Records Release
HIPAA Consent
Financial Policy
Privacy Policy
Sharing Authorization
Eyewear Warranty
Make the Call,
It’s Your Eyes After All.