Patient forms and Notice of Privacy Practices:
To reduce patients being in the waiting area for long periods of time, we highly recommend you fill out your intake forms before your appointment. Click on the buttons below to be directed to a secure and HIPAA compliant portal to fill out your information on your computer, tablet or mobile device. You will be asked to confirm your identity prior to being allowed submit your information for your protection. There are 4 quick forms for you to complete below.
To reduce patients being in the waiting area for long periods of time, we highly recommend you fill out your intake forms before your appointment. Click on the buttons below to be directed to a secure and HIPAA compliant portal to fill out your information on your computer, tablet or mobile device. You will be asked to confirm your identity prior to being allowed submit your information for your protection. There are 4 quick forms for you to complete below.
If you prefer to print your forms instead, click the links below to download the paper work and hand to us during your appointment.
Patient Intake forms for Check-In | |
File Size: | 2033 kb |
File Type: |
Eye Zone - Notice of Privacy Practices | |
File Size: | 2593 kb |
File Type: |
Thank you for your cooperation!