Patient Forms

A SECURE AND SIMPLE WAY TO EXCHANGE INFORMATION

Thank you for filling out the forms before your visit. Its saves you time and helps us keep on schedule. Please review the Notice of Privacy Practices and fill out the Registration Form.

Notice of Privacy Practices

Medical Records Release

Registration Form

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TEMPORARY CLOSURE

Due to the current circumstances with COVID-19 and our commitment to keeping our patients, staff and the general public safe, we will be temporarily closed. We expect to be able to see patients again on April 1st and we will provide updates via our website and social media.

URGENT EYECARE

Dr. Bansal will continue to manage emergent cases. If you have any urgent issues with your ocular health and need to be seen immediately, please email [email protected] immediately and she will get back to you as soon as possible.

ORDER CONTACTS

If you need to order contact lenses, please email us and we can have them shipped directly to your home from our vendor.