Printable Pre-Visit Forms

Convenient. Timely. Respectful.

We will do everything we can to make sure your experience is pleasant and convenient. By using our patient portal to complete or update your information prior to your visit and bringing a few necessary items to your exam, you can help us to give you the best possible care without taking any more of your precious time than is necessary.

If you have any questions about your forms, please don’t hesitate to contact us.​​​​​​​

Patient Forms

The best way to complete your forms is to use our patient portal to complete or update your information prior to your visit. The patient portal allows our patients to compete online forms any-time …. twenty-four hours a day, seven days a week.

The patient portal is the easiest method to complete your forms, however, if you prefer, you can print and complete your forms at home, then bring them with you to your exam.

​​​​​​​If you prefer to print the forms to fill in by hand, you may:

• Click on each of the links below;

• Print them out;

• Fill them in; then

• Bring the completed forms with you to your appointment.

For Medical Visits Only:

Bring this completed form as well as the forms above.

Dilation

The doctor may need to use drops to dilate your eyes in order to fully evaluate your internal health. This has the effect of temporarily increasing sensitivity to light and causing “fuzzy” vision at a near (reading) distance. You may need a driver or ride plan.

Consider browsing our custom-curated optical selection from the comfort of your home (you can even use our Virtual Try-On feature!).

Sometimes, having an Optomap retinal scan can take the place of a dilated exam…Ask our receptionist for details.