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Patient Forms

Patient Form

Please download, print and complete the Medical History Questionnaire before you arrive for your exam.  Also bring a list of your current medications and insurance cards. 

Download our Patient Form

Record Release Form

Please download, print, and complete the Record Release Form found below if transferring eye care to or from Vision Care Associates. 

Download our Record Release Form

HIPAA Policy

To read your privacy rights, please view the document below. You will be required to sign it before you are seen for your exam.

View our HIPAA Policy

Schedule Your Appointment

Contact us to schedule your appointment or to ask questions or learn more! We'd love to hear from you.

Please do not include private or sensitive information in this form.