Patient Forms

If you are a NEW patient, save time in our office by downloading, printing, and bringing your new patient forms to your appointment. Click below to download.

HIPAA POLICY

Download our office privacy policies below:

MEDICAL RECORDS RELEASE

If you need to have your medical records released, please fill out the form below.

PATIENT FORM COMPLETION (FEES AND INVOICE)

If you need forms completed (disability, motor vehicle, etc.), please fill out the form below and remit payment (and your forms) to our office.

WHAT TO BRING TO YOUR FIRST APPOINTMENT

• Insurance card

• List of current medications

• If taking eye drops, bring the box or bottle

• Current glasses or contact lens box (if new prescription needed)

DILATION

Often your pupils must be dilated during an eye exam. Dilation is necessary for a thorough evaluation of your eyes. Dilation may cause your vision to become blurry and lights will appear brighter than usual. We suggest you bring sunglasses to your appointment. If you are concerned about driving while dilated, please bring someone with you to drive you home.

REFRACTION

What is a refraction? It is the part of the eye exam where we check the patient’s glasses prescription. Most often it is best performed prior to any other part of the examination, as intraocular pressure testing and dilation can alter the results and lead to an erroneous glasses prescription. For this reason, make sure to let the doctor or technician know at the beginning of your examination whether you would like a refraction. This service is usually not covered by your insurance and is an additional charge. 

If you have any additional questions, please call us at 407-647-7227.  We look forward to your visit.