Save time and paper – complete your paperwork before your appointment – under construction.
Online Child Medical History Form – under construction
Downloadable Forms
All new patients need to fill out our new patient paperwork Please find the appropriate forms for you or your child below.
Click on one of the following links:
- Adult – General (good for routine or medical vision exams)
- Adult – Brain Injury/Stroke/Concussion/Car Accidents/Neurological vision problems
- Child – General (good for routine vision exams and low vision exams – DO NOT use if you are coming for vision therapy)
- Child – Vision Therapy (reading and learning difficulties, eye turns, lazy eyes, etc.)
- Infant – General (good for babies up to 1 year old)
The following is for reference only: