Please click on the links below. PDF files will download for you to print and fill out completely. Please bring them with you when you come to our office. If you’re a returning patient please bring the HIPPA Policy Statement and your updated Medical History to our office.
New Patient Online Form – Submit Online
Simon Eye Associates Privacy Practices – Download & Print
Simon Eye Associates Privacy Practices Acknowledgement – Download & Print
Medical History – Download & Print
New Patient Data Form – Download & Print