In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.
Adult Welcome Forms
- Form #1: Welcome Form New Patient
- Form #2: Notice of Privacy Practice (HIPAA)
- Form #3: Today’s Visit
Optomap Agreement
Consent to Disclose Medical and Payment Information
15 & Under Welcome Forms
15 & Under Form: Welcome Form New Patient
15 & Under Form: Notice of Privacy Practice (HIPAA)
15 & Under Form: Entrance Symptom Checklist