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New Patient Forms

Preregister to Speed Up Your First Visit

Complete your forms before you arrive.

Welcome to our practice. Once you’ve made your initial appointment, you may preregister by completing the forms below — doing so before your visit helps speed up the new-patient registration process.

Please bring all forms with you to your first visit, along with any diagnostic films or test results ordered or performed by another physician. And remember to bring your glasses, contacts, or powers, your insurance card, and a photo ID to all appointments.

Download & Print

Patient Forms

New Patient Registration

Complete your demographic and contact details before your visit.

Download PDF →

Health History

Share your medical and eye-health history with our team.

Download PDF →

Financial Policies

Review our financial and payment policies.

Download PDF →

Notice of Privacy Practices

Understand how we protect your health information.

Download PDF →
Powell, Ohio

Questions About Forms?

Call (614) 841-9300 and our team will be glad to help.