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For the convenience of our eye care patients we give them the option to print or submit patient forms online.


For the convenience of our eye care patients we give them the option to print or submit patient forms online.


New Patients Form

Online Form here

To fill in, you must download or open in Adobe Reader:

To print, Patient History Questionaire (.pdf for print)

 

When do you need to fill out the forms?
  • If you are a new patient
  • If your personal information (address/phone/insurance) has changed since your last visit
  • If your medical history/medication has changed since your last visit
  • If it has been three years or longer since the last visit

Notice of Privacy Practices

Spectacle and Contact Lens Policy