Patient Forms

Speed up your visit by filling out forms in advance.

Intake Form

For new and existing patients. Let us know about changes to your health, contact information, and any concerns.

Quickly track the progression of dry eye symptoms over time.

Certain providers require additional consent when claims are submitted electronically on your behalf.

Required when claims are submitted electronically by the provider on the patient's behalf.

Plan members must complete this form, even if the patient is the plan member's dependent.