Patient Forms

New Patient Forms (for pediatric patients) PDF

If you’re a new patient, please download the PDF above. Complete the forms and bring with you to your next appointment.

New Patient Forms (for adult patients) PDF

If you’re a new patient, please download the PDF above. Complete the forms and bring with you to your next appointment.

Approval to See Minor Patients without a Parent/Guardian Present (PDF)

If your child will be attending an appointment without the parent and/or legal guardian, we require the document above to be present during the appointment. We also require contact information to reach the parents and/or legal guardian during the exam.

Request to Release Medical Records (PDF)

Complete the form above and send to us if you would like us to obtain the patient’s records from another doctor or you would like us to send our records to another doctor.


Information about Contact Lens Care (PDF)

Parents, and even some doctors, are amazed that young children can tolerate contact lens wear. With diligence, it is not only possible, but also quite beneficial for the child. Our goal is to both provide excellent care as well as empower parents who will be involved with caring for the lenses. We will work with you to rehabilitate your child’s vision to the highest level possible and guide you in your role along the way. Download the PDF above to help you, and your child, to learn appropriate care and handling of contact lenses.