PATIENT REGISTRATION FORMS

CLICK TO DOWNLOAD PATIENT REGISTRATION FORMS (Can be filled out on computer and printed)

  • 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)