Pre-Visit & Online Forms

Convenient. Timely. Respectful.

We will do everything we can to make sure your experience is pleasant and convenient. By electronically filling out your forms 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.
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Patient Forms

The easiest, safest way to provide us with your history is to request secure forms to fill in and submit electronically and use the message box below to indicate whether you prefer to receive the e-forms by email or by text message.

Completed forms can then be sent to us using the "Submit Completed Forms" section located at the bottom of this page.


​​​​​​​Or, 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; and

  • ​​​​​​​Upload the completed forms using the "Submit Completed Forms" section below; or

  • Bring the completed forms with you to your appointment.


Submit Completed Forms

For Medical Visits Only:

Bring this completed form as well as the forms above.


Please bring to your exam:

  • Completed Forms – For your convenience, we strongly encourage you to use our on-line e-Forms, but if you elect not to use our on-line e-Forms, then it is important that you print out and complete all paper forms prior to your visit, and bring the completed paperwork to your appointment.

  • Medical Insurance Card & Vision Plan Card. Be sure to bring your insurance cards so we will be able to bill your insurance. As a free service to you, we will help you learn what benefits may be available to you

  • Eyeglasses - Please bring ALL pairs of eyeglasses you currently use, including prescription or non-prescription reading glasses, sunglasses, etc.

  • Contact Lenses - It is best NOT to wear your current contacts to your appointment. Please bring them in a case and any carton or lens packets you have that indicate the lens series, power, and manufacturer.

  • List of Medications & Eye Drops. If you have not provided a full-list of medications in your completed forms. Please bring a written list of any medications or eye drops you use.


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.