Patient Forms

To Promote Social Distancing:

• PATIENTS MUST COMPLETE PATIENT FORMS BEFORE SCHEDULING YOUR ANNUAL EYE EXAM (Forms are Required Once Annually). Submit forms electronically, OR, print at home and mail completed forms to the office.
• When your forms are received, our staff will call you to make an appointment, or you may schedule on the website. Thank you for your cooperation as we work to protect our patients, staff and doctors!

ELECTRONIC FORMS:

• Patient Form [Link]

OR,

DOWNLOAD FORMS and MAIL TO OFFICE:

• Patient Forms [PDF]
• Notice HIPAA [PDF]