Patient Forms

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Patient Information

New Patient Kit

You can fill out the
New Patient Kit
online. To do so, click on “Download New Patient Kit” below. When the file opens, complete the information, then print a copy to bring to your first appointment and keep one for yourself.
Click the save button to keep an electronic file.
If you’d prefer, you can print out the form and fill it out by hand. Please bring the completed New Patient Kit to your first appointment.

Download New Patient Kit

Other Patient Forms:

Medical Records Release Form

Schedule or Refer

Whether you’re a patient seeking expert retinal care or a physician referring a case, we make it simple and fast to connect with our specialists.

request appointmentrefer a patient

Our Doctors

Meet Our Retina Specialists

Patient Resources

Get the information you need before your visit.