Please complete the appropriate form prior to your appointment:

Exclusive BLUE LIGHT blockers

New Patient Health History Form (ages 18+)

New Patient Pediatric History Form (ages 13-17)

New Patient Pediatric History Form (ages 5-12)

New Patient Pediatric History Form (under age 4)

Returning Patient Health History (all ages)

As a returning patient, you have access to an online portal. If you have not yet requested access please call, text, or email our office so we can get you the information needed!

Patient Portal