New Patient Forms
This page provides forms for new patients. For your convenience, you may download them from here to complete prior to your visit. Simply bring the completed form with you at your scheduled appointment.
New Patient Adult Form (click to download). It contains:
- New Patient Info
- Patient Medical History
- HIPAA
- Your Rights
- Patient Consent Form
- Refraction Policy
- Policy for Routine Eye Exams
New Patient Child Form (click to download). It contains:
- New Patient and Medical History
- Refraction Policy
- Consent Form — HIPAA
- HIPAA Notice
- Policy for Routine Eye Exams
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