We gladly welcome new patients! Below are the forms for our practice. The Patient Information and Ocular and Medical History forms are in PDF format therefore, you can fill them out on line. We ask that you please fill these out completely, print them, and bring them with you on your first visit. We look forward to seeing you soon!

Dr. Held’s Forms:

Patient Information – Dr. Held (.pdf)
Ocular and Medical History – Dr. Held (.pdf)
Contact Lens Policy – Dr. Held (.pdf)
Acknowledgement of Receipt of Privacy Practices & Release Form (.pdf)
Request for Medical Records – Dr. Held (.pdf)

Dr. Young’s & Dr. Whitney’s Forms:

New Patient Packet (.pdf)
HIPAA Notice of Privacy Practices (.pdf)