To save time, you can print the forms below and fill them out prior to coming to the office. Please carry them with you when you come in rather than mailing or emailing them to us.
New patients should fill out a Patient Registration form and a New Patient Medical History form.
Patient Registration Form (pdf, 242 kb)
New Patient Medical History Form (pdf, 744 kb)
Established patients who have not filled out a medical history form within the last six months should complete the Established Patient Medical History form.
A Patient Registration form should only be completed if there has been a change of address, insurance, or other personal information.
Established Patient Medical History Form (pdf, 744 kb)
Patient Registration Form (Changes) (pdf, 242 kb)
Amsler Grid Test (pdf, 125 kb)
Notice of Privacy Practices
Notice of Privacy Practices 2015 (pdf, 79 kb)
Download The Eye MDs Map (pdf, 186 kb)