New Patients
Patient Information and Medical History
Click here to complete your patient information and medical history online. The information will be waiting at the office.
*Please use an updated version of Chrome, Firefox or Edge (Internet Explorer). Some users may experience issues using Safari.
In the alternative, click here to download and print the patient information and medical history form. Bring them with you to your appointment.
Authorization to Receive/Release Health Information (HIPAA)
Click here to submit online | Click here to download and print
This form is mandatory due to the HIPAA Compliance Privacy Laws of the Federal Government.
Refraction Letter
Click here to read and complete your refraction form if you do not have vision insurance. Print and bring with you to your appointment.
Existing Patients
Patient Information
Click here to update your patient information online. Fill out only if information has changed; ie., address, phone, etc.
*Please use an updated version of Chrome, Firefox or Edge (Internet Explorer). Some users may experience issues using Safari.
Medical History Update
Click here to download and print. Bring with you to your appointment.
Authorization to Receive/Release Health Information (HIPAA)
Click here to submit online | Click here to download and print
This form is mandatory due to the HIPAA Compliance Privacy Laws of the Federal Government.
Refraction Letter
Click here to read and complete your refraction form if you do not have vision insurance. Print and bring with you to your appointment.
Questions?
If you have any questions or need to reschedule/cancel your appointment, call 770-979-2020 (option 1).
Quick Links
If your records will be transferred from another doctor, please complete the ‘Medical Records Transfer Authorization’ prior to your visit.
Payment Options
