Patient Registration Forms
Your initial appointment usually involves a complete eye
exam including dilation of the pupil. This can take 1 to 2 hours. There
is paperwork required at the time of registration. This paperwork takes
several minutes for new patients. An abbreviated version is also required
for follow up visits if it has been more than 1 year since your last exam.
To save time, you can print the forms below and fill them
out prior to coming to the office. Please carry them with you when you
come in rather than mailing or emailing them to us.
Established Patients
Established patients who have not filled out a medical
history form within the last six months
should fill out a Established Patient Medical History form.
A Patient Registration
form should only be filled out if there
has been a change of address, insurance, or other personal
information.
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Other
Notes About Your Visit
Payment
is due at the time of service (self pay, co-pays, refractions, deductibles,
etc.) so please bring a form of payment.
Medicare
assignment is accepted.
You
may want to bring a driver as pupil dilation can make driving difficult
for some patients.
Notice of
Privacy Practices
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