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New Patient Forms

Patient Forms

Save time at your visit by completing your paperwork in advance. New patient forms and release forms are available for download, so you can fill them out at your convenience before your appointment.

New Patient (English)

Our new patient form helps us get to know you and your eye care needs before your visit. By completing it in advance, you’ll help ensure a smoother, faster check-in and allow our team to provide you with more personalized care from the moment you arrive.

Download "PATIENT INFO SHEET"

New Patient (Spanish)

Nuestro formulario para nuevos pacientes nos ayuda a conocerle a usted y sus necesidades de cuidado visual antes de su visita. Al completarlo con anticipación, ayudará a que su registro sea más rápido y permitirá a nuestro equipo brindarle una atención más personalizada desde el momento en que llegue.

Download "Spanish New Patient Form.pdf"

Retinal Consent

The retinal consent form explains the purpose of retinal imaging or examination, how the procedure works, and any potential risks or benefits. It confirms that you understand the process and give permission for the provider to perform the exam, helping ensure your eye health is thoroughly evaluated.

Download "Retinal Consent Form.pdf"

Release of Vision Records

The release of vision records form allows you to authorize our office to share your eye care records with another healthcare provider, insurance company, or third party. By signing, you give permission for your vision information to be securely transferred while protecting your privacy.

Download "Release of Vision Records.pdf"