PATIENT REGISTRATION FORMS

CLICK TO DOWNLOAD PATIENT REGISTRATION FORMS

  • Please bring a list of your current medications from your primary care doctor and your doctor's contact information.

  • Package includes patient registration form, patient history and information form, patient lifestyle questionnaire, contact lens services explanation

  • If you complete this package of forms in advance of your visit, you will receive $20 off the purchase of a complete pair of glasses (expires 90 days from date of visit, not to be combined with other discounts or VSP insurance)


FAMILY MEMBER RELEASE FORM

CLICK HERE TO DOWNLOAD FAMILY MEMBER RELEASE FORM (Can be filled out on computer and printed).