Thank you for taking the time to complete our forms prior to your visit to Vision Health Institute.
New Patient Forms:
Please fill out our electronic form (1) which will securely transmit your information directly to our office. If you prefer to print out the forms instead please complete form (2) & (3) and bring them to your first visit.
- (1) New Patient Digital Form – ELECTRONIC SUBMISSION
- (2) New Patient Form – PRINTING REQUIRED
- (3) Acknowledgement of Patient Privacy Practices – PRINTING REQUIRED
- HIPPA Authorization to Release or Disclose Health Care Information [PDF]
- HIPPA Notice of Privacy Practices [PDF]
- iWellness and Digital Retinal Imaging[PDF]