Click on the links below to print and fill out forms.
Patient Registration Form:
Privacy Practices Form:
Questionnaires:
- Health Questionnaire for Adults & Children
- Developmental Questionnaire
- Basic Checklist for Children
- Advanced Checklist for Children
- Questionnaire for Adults with Lazy Eye/Eye turn (Amblyopia/Strabismus)
- Questionnaire for Children with Lazy Eye/Eye turn (Amblyopia/Strabismus)
- Questionnaire for Patients with Traumatic Brain Injury/Post-Concussion
- Symptoms Checklist for Sensory Motor Delay
- Visual Perception Checklist
- Convergence Insufficiency Checklist