Patient Forms

Please open and print these files before your appointment to save time.

• • New Patient Forms (Adult)
  • New Patient Forms (Minor)
  • New Patient Forms Contact Lens (Adult)
  • New Patient Forms Contact Lens (Minor)
  • Late Policy
  • Privacy Policy
  • Notice of Privacy Practices

  Please fill out and sign if you want us to get records from your last eye doctor.

  • Medical Records Received Form
  • Medical Records Release Form

  Additional Forms

  • • Authorization to Treat a Minor
    • HIPAA
    • HIPPA for Minor Child (17 and under)
    • Acknowledgment of Office Policies
    • Contact Lens Prescription Received