Office Forms

Every office has forms to fill out. We have placed ours online to make it as easy to complete in three easy steps.

  1. Download the form to your computer.
  2. Complete the forms on your computer.  Our forms are editable using Adobe Reader. (Or if you wish you can printout and complete by hand.)
  3. Print and sign the forms.

Then just fax or bring your forms with you to your appointment.

New Patients:   Please complete the first three forms on the list.


 

Patient-InformationPatient Service Notices

Information about the type of services our office provides.
 

Patient-History-Form_Updated-01-2014Patient History Form

Tells us about your ocular, medical health and your visual needs.
 

Notice-of-Privacy-PracticesNotice of Privacy Practices

Notification of what our office can and cannot do with your personal, private information.
 

Use-and-Disclosure-of-Protected-Health-Information_Update-1-2014Use and Disclosure of Protected Info

Aknowledgement of our Use and Disclosure policies.
 

Medical-Release-Form_Craig-G-HooverMedical Release Form

Have your records transferred or released from our office.