Patient Forms
| Patient Registration Form (MINIMUM EVERY 3 YEARS OR IF INSURANCE CHANGES) |
The registration form provides us with vital information used to bill your insurance company, keeping in mind that in some instances this may be your major medical insurance carrier rather than your vision insurance carrier. Please bring all insurance cards (medical and vision) with you to your appointment.
| Health and Vision History (FIRST TIME PATIENTS ONLY) |
Many systemic conditions can have signs or symptoms that affect your eyes. Therefore, our office requires a complete history form so that we can better assess your ocular health. Once you are an established patient, we will review this form with you annually at your routine visit(s).
| General Records Release Form (FIRST TIME PATIENTS ONLY) |
| Riverview EyeCare - Records Release Authorization (FIRST TIME PATIENT) |
This form provides authoriztion for your prior eye care provider to send your records to our office so we can better serve you.
| HIPAA Privacy Practices |