Patient Registration Forms (2 choices)
1. Print and fill out these forms prior to your appointment (Printable form). Or choose #2 below to fill out digital version.
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2. Scan QR Code to fill out registration form on your digital device (i.e. smartphone/table)
Request previous Eye records form to be sent to our office
Please fill out this form and send it your previous eye care provider so that we may have details about your
previous eye exam
previous eye exam
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Retinal exam choice form (2 choices)
1. Please fill out this form to indicate your choices for retinal examination (Printable form)
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2. Scan QR code & Select "Optomap Consent Form"
Optilight IPL Form (Fill out both forms for procedure)
Please fill out both forms to consent to Optilight IPL for dry eye treatment and to type your skin
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Lipiflow Review & consent form
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