Patient Forms

If you are a new patient or have not visited us in the past two years, please take a moment to fill out the new patient forms in the following link. Don’t forget and bring your driver’s license and insurance card(s) to your first appointment. Our forms are HIPAA compliant; your information is protected.Thank you.

If you prefer to fill the forms manually,  please download, print and complete the following forms:

Forms Packet

Welcome to Our Office (PDF)
Privacy Practices (PDF)
Contact Lens Agreement (PDF)

If you have any questions please give us a call.

South Charleston – 304.744.1303
Nitro – 304.755.4341

Thank you!