Current Vision Correction
Personal Ocular History
Family Ocular History
Patient Medical History
Do You Currently Have Any Of These Problems?
Family Medical History
Digital Retinal Imaging and Dilation
**Please note: some patients may need both photos and pupillary dilation based on their individual needs
and/or diagnosis. This will be determined by the doctor during the eye exam.
Insurance Authorization, Financial Policy, and Consent To Treat
Vision Insurance vs. Medical Insurance
HIPAA Notice and Acknowledgment
Contact Lens Policy