Patient Forms

For your convenience, you may download and print the following forms. Please complete the forms and bring them to your next appointment.

• Patient History Form - English
• Parental Pre-Authorization Form - English
• Refraction Fees - English

• Patient History Form - Spanish
• Parental Pre-Authorization Form - Spanish
• Refraction Fees - Spanish

• Privacy Policy Form

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*These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.