New Patient Form

Please Fill out Our New Patient Form

Welcome to the Optometrists’ Clinic.


In order for our doctors to provide the most appropriate services for your individual eye care needs, we need a little information about your medical history.


Please complete one of the new patient information forms listed below and email or mail it to us, or bring it with you on your initial visit.


New Patient Form - Adult

New Patient Form - Child


Read our privacy policy to learn how Optometrists’ Clinic protects your information.


Thank you.

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