Office Forms

Office Forms 

For your convenience, print and complete the new patient forms and bring them with you on your first visit to our office.  At check-in you will also be asked for ID and any applicable insurance information.

Every new patient needs to complete the first two forms below for their first office visit.

1. REQUIRED Information Form/Financial Responsibility Form

2. REQUIRED HIPAA Information Form

Only Contact Lens patients need to also bring the third form.

3. CONTACT LENS PATIENTS ONLY Contact Lens Testing Responsibility Form

Translate »