To enable our Doctors and staff to best meet your particular eye care needs, we ask that you complete our registration and health history form. A list of your current medications and dosages as well as any previous eye care records will also be helpful.
Please remember to bring your glasses to each appointment. This information will help in diagnosing the most common conditions like myopia and astigmatism, as well as complex conditions such as glaucoma and macular degeneration.
Please print out and complete the registration and medical history form provided here in Adobe Acrobat format. Complete and sign the form and bring it with you when you visit us.
You will need to download and install the free Adobe Acrobat reader to read this file. To download the Acrobat Reader click here.
» Registration & Medical History Form