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Patient Forms
NEW PATIENTS & PATIENTS RETURNING AFTER 3+ YEARS (completion of patient forms are REQUIRED)
1. Please click on the button below to complete and submit REQUIRED forms securely online PRIOR to your scheduled appointment.
2. Please bring a valid picture ID (ie, drivers license, state ID) to your appointment.
3. Please bring ALL current Vision & Medical insurance card(s) and/or information (ie, Insurance name(s), member ID#(s), plan type(s))
4. Please be sure to Check-in 15-30 minutes prior to your appointment time for preliminary & any medical history work-up
CLICK THE APPROPRATE BUTTON BELOW TO COMPLETE YOUR FORMS:
1. Please click on the button below to complete and submit REQUIRED forms securely online PRIOR to your scheduled appointment.
2. Please bring a valid picture ID (ie, drivers license, state ID) to your appointment.
3. Please bring ALL current Vision & Medical insurance card(s) and/or information (ie, Insurance name(s), member ID#(s), plan type(s))
4. Please be sure to Check-in 15-30 minutes prior to your appointment time for preliminary & any medical history work-up
CLICK THE APPROPRATE BUTTON BELOW TO COMPLETE YOUR FORMS:
Required forms include:
CHILD: (1) Patient Information, (2) Office Policies, (3) HIPAA, (4) Insurance Disclaimer, (5) Student Questionnaire, (6) Contact Lens Exam
ADULT (18yrs+): (1) Patient Information, (2) Office Policies, (3) HIPAA, (4) Insurance Disclaimer, (5) Visual Health & Performance, (6) Contact Lens Exam, (7) OCT Screening
CHILD: (1) Patient Information, (2) Office Policies, (3) HIPAA, (4) Insurance Disclaimer, (5) Student Questionnaire, (6) Contact Lens Exam
ADULT (18yrs+): (1) Patient Information, (2) Office Policies, (3) HIPAA, (4) Insurance Disclaimer, (5) Visual Health & Performance, (6) Contact Lens Exam, (7) OCT Screening