Patient Forms

Prior to your appointment please complete the following forms and bring them to your appointment in order to expedite your visit.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s), complete the required information, and print.

  • Please bring completed forms to your appointment.

  • Patient Information and Medical History

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  • Authorization for Release of Personal Health Information (HIPAA)

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  • Privacy-Policy (for reference only)

  • DOWNLOAD
  • Records Release

  • DOWNLOAD
none 8:30 AM - 5:00 PM 8:30 AM - 7:00 PM 8:30 AM - 5:00 PM 8:30 AM - 7:00 PM 8:30 AM - 5:00 PM 7:45 AM - 12:00 PM Closed optometrist # # # https://collectcheckout.com/r/q9feg