Eye History
Medical History
(1) NOTICE OF PRIVACY PRACTICES ACKNOWLEDGEMENT
(2) OFFICE POLICIES:
(3) Optomap Consent
Optomap Signature
(4) IMPORTANT INFORMATION FOR CONTACT LENS WEARERS:
Yes, I would like a contact lens evaluation and receive my updated contact lens prescription
No, I do not want a contact lens evaluation and am aware I will not receive an updated contact lens prescription