18325 N. Allied Way, Suite 100
Phoenix, Arizona 85054
16150 N. Arrowhead Fountain Ctr. Dr.,
Peoria, Arizona 85382
10615 W Thunderbird Blvd, Suite D180
Sun City, Arizona 85351
2020 N Central Ave, Suite 1100
Phoenix, Arizona 85004
2580 N. Litchfield Rd
Goodyear, Arizona 85395
20940 N Tatum Blvd Ste 370
Phoenix, AZ 85050
9515 W Camelback Rd Ste 110
Phoenix, AZ 85037
Patient Registration Forms
Below we have added a link to our registration form. We require new patients and patients who have not seen us in three years to complete this form. Please fill out the form, save and print the form, then bring the completed form to our office during your visit.
- Patient Registration Form - ENG
- Patient Registration Form - SPA
- Notice of Patient Rights (HIPAA)
- Financial Agreement - ENG
- Financial Agreement - SPA
For new patients taking advantage of our complimentary LASIK evaluation, we ask that you complete the following LASIK Information Form. Please fill out the form, save and print the form, then bring the completed form to our office. This will allow us to get started with your VIP LASIK evaluation as soon as you arrive.
For patients who have scheduled for a Cataract Evaluation, we ask that you complete the following Cataract Questionnaire below. This form helps the surgeon determine the best surgical plan for you. Please fill out the form, save and print the form, then bring the completed form to our office.
Now available at all of our office locations: Free guest Wi-Fi access.
Password information is available upon check-in & is posted around the office.
For patients with appointments at our Central Phoenix office: