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Online Patient Registration Form

Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.

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Our office is open once again and is accepting new patient appointments.

To learn more about how we are protecting our patients and staff during this time, please click here.

Please contact us if you have an eye emergency or if you need to re-order contacts. We are here for you!