Save Time!

Download and fill out your forms, then bring the completed forms with you to your appointment.

Forms to complete for your examination:

  1. Personal Information form
  2. Non-covered Services form
  3. Medical History form
  4. Contact Lens Policies form
  5. Advance Beneficiary Notice

Other forms and surveys:

  1. Record Release form
  2. Photo/media Release form
  3. Dry Eye Questionnaire form

Patient Resources

  1. OTC (Over-the-counter) resources
  2. Amsler Grid