Patient Forms

Prior to your appointment, please save the appropriate forms to your computer. After you have completed them, be sure to save them again, then upload the completed documents to our office. All uploads are encrypted and HIPAA compliant.

New Patient Forms

Returning Patient Forms

Supplemental Forms

If amblyopia and/or eye turn are present also complete:

Supplemental Amblyopia and Strabismus Questionnaire

If acquired brain injury, stroke, motor vehicle accident also complete:

Supplemental Vision Rehab Questionnaire

Vision Therapy Progress Evaluation Symptom Checklists

Other Forms

For your convenience, you may save these forms to your computer, then upload the completed documents to our office.