Patient Forms
If you are a new or returning patient please fill out page 1, 2, 3 and bring to your annual GENERAL EYE EXAM/ Annual Eye Exam appointment.
If you are coming in for brief office visits, please fill out just page 3, the Covid-19 Prescreen.
If you have already completed the patient forms sent to you via text, you DO NOT need to fill these forms out.
If you are coming in for brief office visits, please fill out just page 3, the Covid-19 Prescreen.
If you have already completed the patient forms sent to you via text, you DO NOT need to fill these forms out.
| Patient Questionaire pg1 |
| Patient Questionaire pg2 |
| COVID-19 Pre-Screen Questionaire pg3 |
| Notice of Privacy Practices/ Information |
| Optomap Information |
| Release of Records Request |