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Patient Information Forms

New Patient Paperwork

Please print these forms, fill them out, and bring them with you to your appointment.

Electronic Patient Information Login

In order to complete your patient information forms, please click on this link to log into your personal health record:

If you are a new patient or need assistance logging in, please contact our office and we can provide the username and a temporary password.
After logging in, you may perform the following actions:

  • Fill out paperwork for your appointment
  • Update your personal information
  • Communicate with your doctor and the staff
  • Check your appointment time or make a new appointment
  • Check the status of glasses and contact lens orders
  • Check the balance on your account
  • View your health record

HIPAA Notice of Privacy Practices

For your reference, here is a copy of this office's Notice of Privacy Practices.

HIPAA Privacy Act