Forms

Are you a new patient? Please stop by our office for these forms or call and ask them to be faxed to you, fill them out, and bring them to your appointment.

  • HIPAA privacy policy and acknowledgement
  • Signature on file
  • Insurance information
  • Medical history form
  • VF-14 visual functioning questionnaire

Are you a returning patient? Please stop by our office for these forms or call and ask them to be faxed to you, fill them out, and bring them to your appointment.

  • Insurance information
  • Medical history form
  • VF-14 visual functioning questionnaire