Patient Forms

For your convenience, we have provided the following online forms for your use. If you wish to fill out your paperwork ahead of your appointment, just print the forms, fill them out, and bring them with you to your appointment.

Medical History--Child
Developmental History--Child--if applicable
Medical History--Adult
HIPAA Privacy Policy
HIPAA Signature and Insurance Signature
Eyes feel fatigued? Fill out the Convergence Insufficiency Form

Note: These PDFs require a free plug-in that may be included in your browser. If you are having difficulties opening these files, just click here to go to Adobe's web site for Adobe's PDF reader.