Our clinic is temporarily closed to help slow the rate of COVID-19 infection to help protect our patients, staff, and community. Take care and stay safe.
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.
Patient History Form
Download the Free AdobeReader®
8:45 am-2:00 pm
8:45 am-6:00 pm
8:45 am-2:30 pm