Patient Forms

We ask that all patients, new and established, fill out the Information and History form before every exam. For our current patients please help us keep our records current.  Please print and fill out the form.

For our new patients, print and fill out the Standard Authorization form in addition to the Information and History form.

To make documentation easier, it would appreciated if all patients would please bring a list of current medications, eye glasses and contact lenses to every exam.

Information and History

Standard Authorization (HIPPA)

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If you are having difficulties opening these files click here to go to Adobe's web site for Adobe's PDF reader.

Please don't forget to bring the completed forms to your appointment.