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New Patient Information

If you have scheduled an appointment for a Low Vision Evaluation, please click here to fill out our HIPAA-secure online registration form.


Otherwise, you can print and fill out the following New Patient Paperwork. Bring these completed forms with you to your appointment along with your insurance cards and any glasses or visual aids you currently use.


If you have any questions, contact the office where your appointment is scheduled.

Patient Portal

In order to securely communicate confidential Patient Health Information, a Patient Portal will be registered to you through our office. You will receive an automated email with your username and the following link to log in to the portal: click here

You will be asked to create a password and security question for future access. Please contact our staff if you forget your password or username, or if you need help logging into the portal. A summary of your low vision consultation will be uploaded to this Patient Portal, where you may view, download, and share the documents at your convenience.

Patient Referrals

Referring doctors: please fill out the Low Vision Evaluation Referral Form for patients who need to see our optometrists or the Occupational Therapy Referral Form for patients who need a home evaluation and/or training with low vision aids or assistive technology.

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