Patient Forms

If you are a new patient to our office, the following forms should ALL be filled out prior to arriving at the office.

Printing them, filling them out as completely as possible, and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.

Thank you and please call our office if you have any questions at all.

Demographic Sheet

Medical History Form

Recreational Profile

Cancellation- No Show Policy

HIPAA

TBI Questionnaire (Only For Patients with Appointments for Concussion, Stroke or Other Traumatic Brain Injuries)

VT Questionnaire (Only For Patients with Appointments for Visually-Related Learning Issues)

If you are a new patient and a contact lens wearer, please bring in boxes of your current contact lenses so that the doctor knows what you are currently wearing. If you do not have any more boxes, a contact lens in its original packaging will also give the doctor the information that is needed.

If you have several medications and have prepared a list, we ask that you bring it in with you to your next visit. 

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