Forms & Instructions

For New Patients:

Click on each PDF file.  Print out each form, complete, and bring them with you to your appointment.

Registration Form

HIPAA Privacy Form

Financial Policy Form

Allergy and Med List Sheet

Review of Systems_Med History

COVID19 – Informed Consent


Additionally, for a Cataract Evaluation, print:

Cataract Questionnaire


For a Records Release:

Records Release


For Post-op Instructions:

Post-Op Eye Care

Drop Schedule

Instructions for Surgery