New Patient Registration Forms

New Patient RegistrationAs an added convenience to our patients, our new patient registration forms are now available for download and/or print. You will need acrobat reader to view these files.  Please print and fill out each form as thoroughly as possible prior to your evaluation.  Should you have any questions, please feel free to ask any of our staff members for assistance.

New Patient Registration Form

Medical Authorization Statement Form

Patient History Form

Current Medication Form

Functional Visual Problems Form

Arbitration Agreement Form