Patient Forms


New Patients

Medical History and Demographic Forms

Please download, print, and complete the New Patient Forms.  Bring them to the office on the day of your appointment.  In addition, please bring a copy of your current insurance card and a photo ID such as a driver's license.

Existing Patients

Annual Registration Forms

Due to insurance company requirements and changes of demographic data, all established patients are requested to complete an Annual Registration form prior to the first appointment of each calendar year.  Please click the link above and print the Annual Registration form.

Bring your completed form with you to your first appointment of the year.  This will expedite your check-in procedure and help us avoid re-registration delays.  Up-to-date insurance information is necessary for proper filing of your insurance claims and verification of your demographic data allows us to contact you in a timely manner as necessary.


 
 
 
 
 

Patient Form List

New and Existing Patient Forms

Allergy

BioTE Hormone Replacement Forms

FAA Medical Forms

  • FAA MedXPress - Online system to electronically complete FAA form 8500-8
  • FAA form 8500-7 - Complete this form if you require bifocal lenses, have had eye surgery, or any other occular disease
  • FAA form 8500-14 - Complete this form if you have or are being treated for Glaucoma