520-229-1554

Fax 520-229-1702

Forms

Please download and print the appropriate forms for your appointment, complete them fully, and bring them to your appointment.

This is the Patient and Insurance Information form we require to help us ensure our records remain accurate.

Patient Registration

This is the Medical History Questionnaire form we require to help us ensure our records remain accurate.

Patient History

Learn more about Self-Pay, Medical Insurance Coverage Copays, Refraction Policy, and more.

Financial Policy

This is the Appointment Reminder Preference form we use to help us contact you about future appointments.

Appointment Reminder Preference

Call 520-229-1554 to schedule

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