6035 Airline Drive, Suite 2 Houston, Texas 77076

Forms

Preparing For Your Visit

For your convenience, you may complete new patient forms in advance. Links below will take you to our external client portal

If you are not able to complete the forms before your visit, forms will be provided at the office.

We recommend that you bring a form of identification, insurance card, list of medications, previous eye glasses/contact lens prescriptions, and any relevant information to your visit today. 

*Redirects to external client portal page.

Glasses Prescription
Consent Form

Dry Eye
Form

Comprehensive Eye Exam Form
Vision Plan

Medicaid Comprehensive
Eye Exam