Patient Forms
Your comprehensive eye exam will include a thorough evaluation of your visual needs and your ocular health. The examination will include measurement of your visual acuity, depth perception, eye coordination, eye pressures and overall eye health. In order to fully evaluate your ocular health, your eyes will likely be dilated. The visit usually takes 45-90 minutes to complete. If you would like to fill out some of your paperwork prior to arriving, please click on appropriate link to print out and complete in advance. Feel free to complete and bring with you any of the other forms that may be pertinent to your eye examination.
Registration Form
Please bring with you for your appointment. Circle anything that applies to you, or your family (in the family section).
Patient Satisfaction Survey
Please fill this survey out to tell us how your experience was. We strive to be the very best for all of your eye care needs. We appreciate any suggestions to improve. Thank you for your time. Also, as a thank you for filling this survey, you will be eligible for a $50.00 American Express card drawn twice a year.
Lifestyle Questionnaire
This questionnaire is designed to assist you and our staff in helping select the best lenses, frames and/or contact lenses to suit your visual needs and lifestyle. Take a few moments to answer the following questions or work with our staff to answer them together.
Low Vision Questionnaire
Please bring with you for your appointment. Circle anything that applies.
Low Vision Eval
Please bring with you for your appointment. Circle anything that applies.
Notice of Privacy Practices
Please bring with you for your appointment. Circle anything that applies.
Infant See
Please bring with you for your appointment. Circle anything that applies.
Computer Vision Questionnaire
Please bring with you for your appointment.