Please take the time to print these files and fill them out before your next visit.
At your leisure read through and fill out the information and bring these with you to your office visit. This will help to expedite the check in process for your first visit.

Patients Form

*Please print, fill out and bring with you to your appointment.

To Access Your Eye Care Records

Go to:

1. Register (as 1st time user): Enter registration information (Initial password 1234)
– Then, Enter your new password

2. You will then be redirected to the log in page
– Enter your email and new password

In order to access your records you must provide your social security number at the time of check in.

If you cannot access your records they may not have been *submitted to the portal yet.

*Visits after October 1, 2011 will be submitted, none prior.