Please take the time to fill out the following form prior to your appointment.
  • Did you know we offer a $25 voucher to use towards any retial purchase for each referral you make to our clinic?!
  • Ocular History

  • Medical History

  • Thank you for taking the time to fill out our intake forms, we look forward to seeing you!

    Don't forget to bring all of your current eyewear (including sunglasses) to your appointment. If you are a contact lens wearer, please come in wearing them to your appointment.