Online Forms

I'm sure that you'll want to get your eye examination started soon after you arrive.  So, to help process your paperwork, we ask that you click on the appropriate link below, complete and print the form, then either fax it or bring it with you to your exam.  This form will help us get acquainted with you so we can better assess your eye care and visual needs.  The information you provide can also help us make recommendations about different eyewear options to fit your specific needs and lifestyle.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

Adult Health History Form

This lets us know the history and current state of your health. What questions, concerns, goals, regarding your vision can we help you with? Let us know!

Download & Print Form

Child Health History Form

This lets us know the history and current state of your child's health. What questions, concerns, goals, regarding your vision can we help you with? Let us know!

VIP Member Registration Form - Optional

This form can be filled out to register for access to the members only section of our website. You can also sign up for our newsletters to keep up on current vision issues, as well as receive special promotions and invitations to VIP events in our office. Print out this form and bring it with you to our office.  If you prefer, Click Here and register online instead!  We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form