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.