Please download and read our HIPAA form and complete the dilation waiver form before coming in to your next routine eye exam appointment. If you are a new patient to our office, please complete our new patient health history form prior to your visit as well. All forms will be emailed securely to our HIPPA compliant email at the office of your choice. Our goal is to save paper, cover everything you need with a full and efficient assessment, but without waiting long to see the doctor.
New Patient Forms
HIPAA Form – Download and Print Form
Dilation Ultrawide Waiver – Download and Print Form | Fill Out Online
New Patient History Form – Download and Print Form | Fill Out Online
Established Patient Forms
HIPAA Form – Download and Print Form
Dilation Ultrawide Waiver – Download and Print Form | Fill Out Online