FORMS

We have compiled all our patient forms together in one place for your convenience. All forms may be submitted online.

New Patients

• Patient History

• COVID-19 Consent (effective May 2020)

• Credit Card Authorization

• Post-Head Injury/Stroke Questionnaire

• Right Eye Screening Authorization (Ages 6 and over)

Existing Patients

• Update Patient History (enter unique passcode given by office staff)

• Vision Therapy Performance Changes

• Post-Head Injury/Stroke Questionnaire

• Right Eye Screening Authorization (Ages 6 and over)