Please complete this form to become acquainted with you and begin a file with our office. Once you've filled out the form, please bring with you the day of your appointment.

To ensure a comprehensive eye examination, our doctors require information about your health as many systemic conditions can affect your vision but also the health of your eyes. Please complete form entirely and bring with you at your appointment so our doctors can review with you.

• Our Welcome to our Office form and Health History Questionnaire are also available in Spanish.
• Puede usar nuestras formas en Espanol y traerlas a nuestra oficina el dia de su cita.