Pediatric New Patient Forms

• Initial Ophthalmic History and Physical Form (pediatric version)
• Pediatric Refraction Policy
• Insurance Information
• HIPAA
• Office Policies
• Financial Policies
• Authorization for non-parent/legal guardian to accompany patient

Adult New Patient Forms

• Initial Adult Ophthalmic History and Physical Form
• Adult Refraction Policy
• Insurance Information
• HIPAA
• Office Policies
• Financial Policies

Auxillary Forms

• Records Release Form