top of page

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 Referrals

Referring doctors: please fill out the the Patient Referral Form below and fax to one of our offices.

bottom of page