New patients and patients that haven’t been in for over a year should download this file, complete and bring with you for your appointment.

It asks for both your medical and eye health history so we have a better understanding of your overall health.

The HIPAA Patient Privacy Act of 1996 requires us to have your written consent with whom you want us to share your medical data.

If you’ve already provided this information to us, you do not need to repeat it unless you want to change it.

If you are a new patient, please download, complete it and bring it with you to your appointment.

New patients and patients that haven’t been in for over a year should download this file, complete and bring with you for your appointment.

Those who are experiencing dry eye symptoms should download, complete this one page form, and bring it with you for your appointment.