Patient Forms

Patient Forms

Click to access our patient forms. Save time by filling them out before your next visit to our office.

New Patient Forms

Please fill out this form if you’re new to our office or have not been seen in our office since 2012.

New Patient Form
New Patient Form: Auxiliary

Returning Patient Forms

Please fill out our returning patient if it has been more than two years since you’ve been to our office. Every year our patients will be asked to fill out our financial responsibility form accepting any charges that insurance does not cover.

Welcome Back
Financial Responsibility

Records Release Forms

Records Release Authorization to ECA
Records Release Authorization from ECA

Contact Lens Exams

Explanation of Contact Lens Exam and Fitting Fees