Crystal PM Patient Form

Thank you for choosing Private Eyes Optometry. So that we will have all the information needed when you arrive for your appointment please click on the appropriate link.

New Patient Secure Online Form:

If you have never been to our office, please click on the "New Patient Form" button link below.

Established Patient Secure Online Form:

We will normally send you an email right after you schedule your appointment to allow you to securely update your patient information and medical history by using your passcode. This will save time and unnecessary paperwork when you come in. If your passcode doesn't work, please call us and we can activate your file.