Patient Forms

Patient Registration

 Register for your appointment by clicking on Patient Registration and completing the form.

∙ You will receive a confirmation number after you click on the Submit button.

∙ Please email us this number or bring it to your appointment.

Financial & Contact Lens Policies

Notice of Privacy Practices

InfantSEE Form
It is important that babies between six and 12 months of age have an exam to determine if they are at risk for eye or vision disorders. Our doctors participate in InfantSEE, a program that provides free eye exams for babies up to 12 months.

You may complete this form before coming to our office for the first time.

This PDF requires a free plugin that may have come included with your browser. If you are having difficulties opening this file, click here to go to Adobe's web site for Acrobat Reader.