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
• Financial Agreement

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.

• LASIK Information Form

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.

• Cataract Questionnaire 

For patients who have scheduled for a dry eye assessment, we ask that you complete the following Dry Eye Questionnaire below. Please fill out the form, save and print the form, then bring the completed form to our office.

• Dry Eye Questionnaire

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:

• Parking Directions and Map of Central Phoenix Office