New Patient Paper Work
Please bring completed forms to the office before your appointment. You will need to download the paper work, fill it out and print it. Or you can print the paperwork, handwrite the data. Thank you in advance for you effort on this matter.
Records Release
If you would like us to receive your records from your prior eye care provide, just fill out this form. Either bring it to the office and we will fax it for you, or mail it to your former provider.
Notices of Privacy Practices (NPP)
According to the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The HIPAA Privacy Rule requires health plans and covered health care providers to develop and distribute a notice that provides a clear, user friendly explanation of individuals rights with respect to their personal health information and the privacy practices of health plans and health care providers. This page provides options for meeting the requirement to create notices of privacy practices (NPP). Click here for more information.