To expedite your visit, please download and fill following PDF file. Just click on the link below and print the form. Then fill out all the information that applies to you. You must have Adobe Acrobat Reader installed. Bring this form with you to your initial appointment.

Before downloading, please look over our Privacy Policy.

Medication Form

Keeping track of the medications you take, how much you take, and how often you take them is very important to all of your doctors, including your ophthalmologist. Keeping an up-to-date list of your medications is simple and easy when you have a system in place to stay organized.

Click here to complete the mediation form. You can print it and bring it with you to your first appointment.

Click here to download Acrobat Reader if needed.