New patient forms

Contact & Insurance InfoDownload
Health HistoryDownload
Financial PolicyDownload

Please be aware that all new patients are asked to have the Optomap Retinal Screening.

This screening has a cost of $39, and is a requirement for your first appointment. You are welcome to decline this screening in the future. 

To learn more about the Optomap Technology, click the button below.

Find out more

Other forms & Information

Special Testing ConsentDownload
Dry Eye Evaluation ConsentDownload
Release of InformationDownload
HIPAA PolicyDownload
Medicaid Glasses ProvidersDownload
Contact Lens Fitting InformationDownload
Vision vs Medical InsuranceDownload