Patient Forms

If you are a new patient or have not visited us in the past two years, please download, print and complete the Welcome to Our Office and Contact Lenses Agreement Forms. The Medical History form needs to be completed directly on your computer but we ask you that once you finish it, please print it and bring both forms with you to your next visit. We are always vigilant of our patient’s privacy and ask you to not submit the Medical History form via email but rather bring a printed copy with you. Thank you.
If you have any questions please give us a call.
South Charleston – 304.744.1303
Nitro – 304.755.4341

Thank you!

Forms Packet

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