Patient Center
Patient Forms
Please print and complete the following forms before your first appointment. You can print the complete forms package (14 pages) or each form individually.
Complete Forms Package
Individual Forms
- Patient Referral Form
- New Patient Information
- New Patient Medical Information
- Medical Records Release
- HIPAA Notice of Privacy Practices
- HIPAA Notice to Patients
- HIPAA Appointment Designate
Amsler Grid Testing
Amsler Grid Testing is an at-home test to help detect changes in your vision, the Amsler Grid test can be an important indicator of diseases in the retina.