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.
The easiest, safest way to provide us with your history is to request secure forms to fill in and submit electronically by clicking here and use the message box to indicate whether you prefer to receive the e-forms by email or by text message.
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
- Bring the completed forms with you to your appointment.
As with most things, COVID-19 has changed how we provide our top-quality eye care experience. Specifically, we have implemented several new procedures in the office for your safety, protection and peace of mind… But please know you will still receive the warm welcome and friendly, caring eye care experience you’ve come to expect from Northside Vision:
1. BRING COMPLETED FORMS. Please complete all forms prior to your appointment: Simply print each of these forms below; fill them in, and bring them with you. If you don’t have access to a printer, call us and we will mail the forms to you.
2. PARKING LOT CHECK-IN. Call us from the parking lot when you arrive: We are now required to employ parking-lot check-ins to ensure proper social distancing. This way, we can reduce the time you spend inside the office and allow you to avoid crowded waiting room areas.
3. WEAR A MASK. All patients must wear a mask or face covering when in the office, per CDC requirements. Staff will wear masks at all times as well.
4. FLY SOLO. New rules require healthcare facilities to limit patient visitors to a maximum of one care-taker for minor patients or patients needing assistance.
5. COVID SCREENING. All staff and visitors will have their temperature checked upon entry, and are required to stay home if they have any of the following: Fever, respiratory symptoms (cough, sore throat, shortness of breath), exposure to COVID and/or quarantine status; fatigue; body aches; or flu-like symptoms. When in doubt, please reschedule.
6. ON LINE PURCHASES. To help you maximize social-distancing opportunities, Northside Vision now makes its full line of carefully curated eyewear available for on-line browsing and virtual try-ons, so your favorite frames will be waiting for you when you arrive! You will still get your custom-fitting and expert advice from our opticians and can browse our optical in-person, but this exciting new technology offers you a chance to browse from home and to share your frame ideas with family and friends before visiting our optical showroom. We also now offer competitively-priced contact lens re-orders delivered to your home, as well as a wide variety of quality eye-health products, custom-selected by Dr. Fairborn.
Please bring to your exam:
Completed Forms (If you Opt Not to Use e-Forms)
This information includes information needed to establish your file. Your responses will guide our doctors and staff, and help us to address any significant issues during your visit.
Medical and Vision Plans. As a free service to you, we will help you learn what benefits may be available to you beforehand and submit your claims to insurance.
Please bring ALL pairs of eyeglasses you currently use, including prescription or non-prescription reading glasses, sunglasses, etc.
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, Including Eye Drops. Please place any eye drops or ointments that you use in a small bag and bring it along with you.
All patients must wear a mask or face covering when in the office, per CDC requirements. Staff will wear masks at all times as well.
The doctor may need to use drops to dilate your eyes in order to fully evaluate their 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 plans.
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.