At Family Vision, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.
- You will need AdobeReader® to download and complete the forms.
- Download the required form(s). Print out the form(s) and complete the required information.
- Fax your printed and completed form(s) to our office or bring them with you to your appointment.
Informed Consent (Dilation/Imaging)
Describes the importance of dilation and retinal imaging. Let's you decide if and when you want these important procedures done. Privacy Form describes the office privacy policies and the medical history form is important to gather vital information needed for the doctors.
Privacy Policies and Consent Form
Yet another hoop the government wants us all to jump through. Actually, it means we keep your information safe and don't share it with others. It's called HIPAA. You'll like it. Maybe.
Welcome Form
Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.
At Family Vision, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.
- You will need AdobeReader® to download and complete the forms.
- Download the required form(s). Print out the form(s) and complete the required information.
- Fax your printed and completed form(s) to our office or bring them with you to your appointment.
New Patient Health History Form – Required
Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.