All New Patient Forms(PDF)
If you’re a new patient, please download the PDF above. Complete the forms and bring with you to your next appointment.
Approval to See Minor Patients without a Parent/Guardian Present (PDF)
If your child will be attending an appointment without the parent and/or legal guardian, we require the document above to be present during the appointment. We also require contact information to reach the parents and/or legal guardian during the exam.
Request to Release Medical Records (PDF)
Complete the form above and send to us if you would like us to obtain the patient’s records from another doctor or you would like us to send our records to another doctor.
American Association of Pediatric Ophthalmology & Strabismus (AAPOS)
American Academy of Ophthalmology (AAO)
Stony Point Surgery Center (Our preferred surgical facility)