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.
- 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]