Service Flyer
Click here to download our promotional service flyer. This summarizes our service and common conditions that we manage.
Intake and Consent Forms
Click here to download our Intake and Consent (RME) forms. These forms provide us with your demographic information, insurance details, and health history. The RME form grants us permission to bill insurance for services. This also serves as a notice of privacy policy. This form must be filled out by each patient or their representative prior to our initial visit. This also gives the patient an opportunity to enroll in our online patient portal.
Vision Screening Questions for Patients or Facility Representatives
How do you know if you should have an eye exam? We believe that all patients should have a comprehensive eye exam and ocular health evaluation at least once per year. If there are any systemic health conditions that may affect the eyes, we should evaluate the patient more frequently. We have prepared a list of questions or other considerations that all patients should consider when requesting an eye exam. Please click here to download our Vision Screening form. This is for your information only. We do not need our patients to fill out this form.