Patient Forms

Patients can prepare their paperwork before their appointment. Simply print out and complete the patient history form and bring it with you to your appointment along with your old eyewear, insurance card and photo I.D.

Patient Intake and Medical History Form

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Virtual Tour: https://my.matterport.com/show/?m=GxBSgdewvuJ

CareCredit Application

Worry about not losing your eyeglasses, not how to pay for them. To help, we have partnered with CareCredit® which provides financing options for patients who need financial flexibility. To apply online, click the button below.

CARECREDIT APPLICATION

Notice Of Privacy Practices

NOTICE OF PRIVACY PRACTICES