Patient Forms/Registration and HIPAA

For your convenience, in an effort to reduce the amount of paperwork required before an eye examination, please download the patient forms below and fill them out prior to your appointment. Thank you.

New Patients:

Both the Patient Registration/Health History and HIPAA forms are required for ALL new patients. Please print out and complete these forms and bring them with you to your appointment.

Patient Registration Form HIPAA Form

Existing Patients:

If you are a previous patient, please use the Patient Registration Form to update your health history or address and bring it with you to your appointment.

Please be certain to also bring the following items to your appointment:

  • A list of all your current medications and eye drops
  • Current insurance information
  • Health insurance cards
  • Military ID