Patient Forms
If you are a new patient to our practice (or have not had an exam with us in the past three years), click on our printable forms. Fill out your patient history form before your next visit to save you time.
Feel free to email your forms back to us ahead of time… (email: insightoptometrySB@gmail.com)
We thank you in advance!
- Health History 1 [PDF]
- Health History 2 [PDF]
- InfantSEE Infant History Form [PDF]
- Items to bring to Appointment [PDF]
- HIPAA Notice of Privacy Practices [PDF]
Click the button above to access our Patient Portal, RevolutionPHR