COVID-19 Questionnaire
To maintain a safe environment for our patients and staff, we encourage you to fill out the screening questionnaire prior to arrival at the office. Please fill out the form completely and hand it to the front desk staff. You can download the form here.
Preparing for Your First Visit
We want your time with us to be special and enjoyable therefore we encourage you to download, complete, and bring the following forms to your first visit so we can spend more time seeing you. Download ALL forms here.
Pharmacy Info
If you have switched pharmacies or have alternative pharmacies you would like any prescription to be sent to, please fill out this form so we may update our system and make the process as seamless as possible.
Refraction Waiver
If your vision is less than 20/20 without corrective lenses, it is necessary to refract to determine the underlying causes of lowered vision. Please fill out this form to let us know if you accept or decline this service.
Please find other update forms below:
New Patient Registration Form
Download Form in Spanish
Download Form in Chinese
Patient Confidentiality Form
Refraction Waiver Form
Pharmacy Information Form
Download Form in English
Download Form in Chinese
*Medical Records Request:
You may call our office and request the “Authorization for Release of Medical Records” form and either mail, fax or email it to our Medical Records Department.
(Note: You will need Adobe Acrobat Reader software to open these forms.)