Patient Registration

Thank you for taking the time to provide some information to us before your arrival.  By doing so, it allows us to process it and the doctor can review your eye and medical history before your exam.  This allows us to start your exam quickly when you get to our office.

  • Insurance Information: Providing us with as much information as you can regarding your insurance allows us to verify your benefits before you arrive. If we are unable to verify your insurance and benefits before your appointment time you will need to pay for your services in full and be reimbursed by your insurance. Thank you!
  • Ocular History

  • General Medical History

  • Optical History

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