Patient Forms

Please print, fill out the following patient information forms and bring them with you to your visit.
By signing "Acknowledgment of Receipt of Privacy Practices" form signifies that you have read the Privacy Policy which also can be found under the 'Privacy Policy' tab. 

• Patient Forms for New Patients & Prev. Patients

patient_forms.pdf

New Office Policy:

It is required for those who come to our clinic to 
-Wear face masks/coverings
-When possible maintain 6 feet of social distancing

We encourage patients, if able:
Call us when they are in parking lot to check in for their appointment over the phone. 
Patients can then wait in their car until our Optometrist is ready to see them.
This will enable staff to manage how many people are in the waiting area and optical floor.
​It will give staff time to sanitize each area being used.

 Patients and accompanying adults will have their temperature checked via Contactless Thermometer
​(if 100°F or above, patient will be rescheduled.)

After collecting copay/payment
Patient will be pretested: Autorefraction and Intraocular Pressure 
then taken into the exam room as quickly as possible.

Patients who have an appointment with the Optometrist will have time with our Optician in regards to new eyewear orders, contact lens orders, optical repairs, and eyewear adjustments. 

If you'd like to cancel an appointment, please call or leave a message 24hrs before the appointment.