Forms Content

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Online Forms

In order to reduce person to person contact we are going digital. Please review each documents. During your online registration process you will be asked to E-sign to show the receipt of some of the documents

New Policies and Procedures due to Covid 19

HIPAA Notice of Privacy Practices

Must E-Sign during online registration

Patient Responsibility & LensCrafters Notice

 Must E-Sign during online registration 

Retinal Evaluation information

To Protect the Patient and our Staff

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New Procedures and Guidelines

 BEFORE MAKING AN APPOINTMENT OR REGISTERING READ THIS


-If you are someone in the higher risk group we ask that you wait to come in if it is not an urgent issue. 


 - Eye exams will be done by appointment only, we are NOT accepting walk-ins at this time.  You may schedule online here or call the location you wish to go to.

- Contacts may be purchased online or over the phone if your prescription is current . We will do curbside service for anything that needs to be picked up.


- Please come alone to the visit.  Only people who are necessary caregivers to the patient or the next patient will be allowed in with you.


- Arrive 10 minutes early and call us when you are in the parking lot. We will go over some of your information over the phone instead of in person.

- Upon arrival an associate will unlock the door for you, ask screening questions, take your temperature with a non-contact thermometer and you will be asked to wash hands once in the office.  No food or drink will be allowed and  PLEASE BRING YOUR OWN MASK FOR THE VISIT!

- We have rearranged the office to be in compliance with the CDC guidelines for social distancing to allow everyone the space the need. You will be directed where to stand or sit while there to avoid running into others in the small hallways

 - In order to follow CDC guidelines more cleaning precautions are being used between each patient. Some disinfectants can take up to 10 min of surface to fully disinfect so this will be done before you go into the room.


- If you have questions or concerns please contact us Monday-Saturday from 12-5.


-This is not all of the changes and will continue to change throughout the process. We will communicate everything before your visit. See you soon!

Thank you! 

HIPAA Notice of Privacy Practices

This is HIPAA. You will need to  do an electronic signature to state that you were given the opportunity to review or  have our policy. Enter the electronic signature on your online registration. 

Download PDF

Patient Responsibility & LensCrafters Forms

 If you are using insurance the Patient Responsibility signature must be complete on your  online paperwork.  Please enter your electronic signature on the online Paperwork

Download PDF

Retinal Evaluation Information

 Please read and review this information. There is no action to take except to know what you will like to do when you come in. If you are unsure ask us the day of your visit! 

Download PDF