Vision Health Institute Online Forms

At Vision Health Institute, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

New Patient Form
Download
Acknowledgement of Patient Privacy Practices
Download
HIPPA Authorization to Release or Disclose Health Care Information
Download
HIPPA Notice of Privacy Practices
Download
iWellness and Digital Retinal Imaging
Download