Online Form

Printable History Forms

General Office Forms

 

Print Follow-up Forms

Welcome to our Online Forms Page

We have provided you a way to access our medical history forms online so you can save time when it is time for you or your child's appointment. If you are an existing patient scroll to the bottom.

New Patients

Follow these three easy steps before coming to our office:

  1. After you have called our office to schedule an appointment for your child, please click on the "Child History Form" link to the left and follow the directions for a new or existing patient. This gives you an opportunity to tell us about your child in great depth. Included in this form is information about school aged children from pre-school up to high school.  Please answer the questions that are appropriate to your child.  You are welcome to skip any that you do not know.  We will be able to fully address all of your needs and concerns with this information. This information is completely secure and stored on our practice management software's server.

    NOTE: If you are coming in for an Infant Vision/Adult Vision Evaluation/Brain Injury Vision Exam or are uncomfortable with sending your child's information over the internet, please print the appropriate form located under Printable Forms to the left, fill it out completely, and bring it with you to the appointment.
     

  2. If you need records sent to us, please print the "Records Release Form," fill it out, and fax it to your previous or referring doctor.
     

  3. All patients must consent to our privacy policies. You will be asked to sign a consent form when you arrive for you or your child's appointment. You may print this in advance, sign the last page, and bring it into our office to save time. In order to review our privacy practices, please click on the "Privacy Policies" link to the left.

    This information is very helpful to have ahead of time and we appreciate you filling it out well in advance of your appointment. 

Existing Patients

If you are coming in for a follow-up visit, please click on the appropriate link to the left under print follow-up forms.