EN

Translate:

  • Home
  • Our Services
  • Insurance Plans
  • Patient Forms
  • More
    • Home
    • Our Services
    • Insurance Plans
    • Patient Forms

EN

  • Home
  • Our Services
  • Insurance Plans
  • Patient Forms

Patient Forms

Welcome to our office! 


If you are new to our practice, please feel free to fill out, print and bring the following forms to our office before your appointment.

We provide all these forms in hard-copy in our office.

FINANCIAL POLICY & HIPAA PRIVACY (pdf)Download
PATIENT GENERAL INFORMATION (pdf)Download
PATIENT GENERAL INFORMATION (SPANISH) (pdf)Download

Copyright © 2017 Health Optometrist- All Rights Reserved.

Powered by

New Office Hours Effective 

October 6, 2025