Office Forms


Please print and complete the Patient Information Form and bring with you to your first visit.

In addition, please bring a current medication list, your most recent pair of prescription glasses and sunglasses, and your contact lens prescription. This will aide the doctor in taking better care of you and your eyes.


Should you need any assistance with this form or have any questions regarding your appointment,
please feel free to contact us by phone at 812.944.9944 or email at