Forms

  • Patient Information Sheet

    Patient Information Sheet

    This form will help us collect all of your personal information. This form is required for all new patients.

    Download Form (PDF)
  • Medical History Form

    Medical History Form

    This form will help us gain an understanding of your medical history. This form is required for all new patients.

    Download Form (PDF)
  • Release of Medical Records

    Release of Medical Records

    This form will help us procure your medical records from your existing primary care physician. This form is required for all new patients.

    Download Form (PDF)
  • Refraction Form

    Refraction Form

    This form must be completed and signed if you are considering a refraction test for glasses and/or corrective lenses.

    Download Form (PDF)
  • Privacy Notice

    Privacy Notice

    Please review our privacy notice carefully. This form is for your records.

    Download Form (PDF)

Call (480) 947-4493 to make an appointment for your eye care.

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