Patient Forms
| Patient Registration Form |
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 |
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).
Please print out and complete the patient registration form and the health and vision history form if this is your first visit to the office since February 1, 2012, even if you are an established patient.
Please print out and complete the patient registration form and the health and vision history form if this is your first visit to the office since February 1, 2012, even if you are an established patient.
| Notice of Privacy Practices |