We want your visit to our office to be pleasant and seamless. So we may serve you better, please print and complete the patient registration forms below at home, if possible, and bring them to your first appointment.
Additionally, we recommend bringing the following along with you to your appointment:
- Health insurance information including authorizations or referrals. PLEASE NOTE IF YOU HAVE A COPAY WITH YOUR INSURANCE IT IS EXPECTED TO BE PAID ON YOUR APPOINTMENT DATE. (BILLING AT A LATER DATE IS NOT AN OPTION).
- List of prescription medications and dosages you are currently taking
- For glaucoma evaluations, please bring your eye drop bottles to the exam
- Recent test results related to your condition
New Patient Registration Forms
Click here to download and print our New Patient Registration Forms to bring to your scheduled appointment. If you need to schedule a visit, please contact our clinic by phone, or through the appointment request portal here.
Medical Records Release Form
Click here to download and print our Medical Records Release Form to complete the transfer of your medical records from our office to either yourself (with a fee) or to another physician’s office (which is free of charge). After downloading the form please complete the form in its entirety and return to our office either by fax, mail or you can scan the form to firstname.lastname@example.org. Please allow 48 hours or 2 business days to process after we receive the form.
Patient Privacy Statement
Your privacy is important to us. Click here to view our Patient Privacy Statement.