For all new patients, we request that these intake forms are filled out before arriving for your visit.
Web Registration & Patient Portal
Please write down your password and the confirmation number at the end of the form and bring these in to your visit. Everything in yellow is mandatory.
Print Forms
- Intake Form (Adult) [PDF]
- Intake Form (Child) [PDF]
- Intake Form (Infant) [PDF]
- BIVSS Survey – For Patients 15 and up [PDF]
- Concussion / Traumatic Brain Injury Intake Form [PDF]
- Contact Lens Policy [PDF]
- Vision Service Insurance Release [PDF]
- Multisensory Checklist [PDF]