Patient Forms

Please print, fill out the following patient information forms and bring them with you to your visit.
​(patient forms will also be available in-office)

New Patients & Prev. Patients:
Patient Forms -click here-
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. 

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​*Due to COVID-19 USPS, UPS, Contact Lens Manufacturers, and Optical Lab are
​experiencing delays. 

Please be aware that it may take up to 24 hours for your order to be fully processed and received.* 

*Tracking information and Status Updates on orders may be delayed.*

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

 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. Our optometrist does dilate, please bring a driver if you feel necessary.

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.