New: We have incorporated a new automated system to remind our patients that they are due for their eye health examination. This system will also confirm your appointment via text, e-Mail or with a telephone message. We will be asking you to confirm and update your contact information. We are very excited to initiate this automated system and as we merge the new with the old we may experience some technical difficulties. We appreciate your understanding if you receive multiple notifications or if we have to make accommodations to the schedule. Thank you.
Patient Forms: Please read below and bring all necessary information. Visit our Facebook page for updates and any changes in our schedule for holidays. Thank you. Attention: Thursday, June 22, 2017 our office will be opened 9:00 am to 5:00 pm
| Patient Information |
| Childrens Questioneer |
| LifeStyle Questioneer |
| History Form A |
| History Form B |
Please Download and print patient forms prior to your visit.
Things to bring to your appointment:
1 The completed patient forms. Please include medical conditions, prescription medication and dosage. In addition, for children 17 and under, please fill out the Children's Questioner.
2. Doctor referrals, medical records, and or lab work.
3. Medical and Optical Insurance cards.
4. Your eyeglasses, sunglasses, and computer glasses.
5. If you wear disposable contact lenses, please bring the boxes, or the labels for the right and left eye.
6. All co-pays for your visit for eye exam and/or glasses, contact lenses or other materials (for optical plans) are due at your visit. Non-optical plan orders require deposit for eyeglass, contact lenses and materials.
Children under 18 must be accompanied by a parent. If you would like your teen seen without their guardian, please call the office for the appropriate paperwork.
Thank You
Things to bring to your appointment:
1 The completed patient forms. Please include medical conditions, prescription medication and dosage. In addition, for children 17 and under, please fill out the Children's Questioner.
2. Doctor referrals, medical records, and or lab work.
3. Medical and Optical Insurance cards.
4. Your eyeglasses, sunglasses, and computer glasses.
5. If you wear disposable contact lenses, please bring the boxes, or the labels for the right and left eye.
6. All co-pays for your visit for eye exam and/or glasses, contact lenses or other materials (for optical plans) are due at your visit. Non-optical plan orders require deposit for eyeglass, contact lenses and materials.
Children under 18 must be accompanied by a parent. If you would like your teen seen without their guardian, please call the office for the appropriate paperwork.
Thank You
