The forms included in this registration packet enable us to learn about your health and how it affects your vision, understand your overall health, track the effectiveness of your treatment, and accurately bill your insurance.
We realize filling out paperwork for healthcare in today’s world is time consuming. We have made every effort to minimize the paperwork required for our patients, while also getting the information we need to provide you with the highest quality service possible.
The following forms are included:
All new patients must complete this form. Existing patients may need to update information. Please bring your insurance card(s) to your first visit, as we will need photocopies for our records.
Download English Patient Registration Form
Download Spanish Patient Registration Form
Download Creole Patient Registration Form
Your answers on this form will allow us to have an accurate picture of your current physical condition and is valuable for a thorough evaluation by your doctor.
Download English Medical History Form
Download Spanish Medical History Form
Download Creole Medical History Form
Completion of this form will allow us to release your medical records.
Download English Medical Records Form
Download Spanish Medical Records Form
Completion of this form will allows a parent, custodian, or guardian to authorize diagnosis, treatment, or care for a minor.
Maintenance, warranty, and return policy for eyeglass frames and lenses.