Patient Forms – Envision Optique

>>NEW PATIENTS TO THE OFFICE or IF SEEN MORE THAN TWO YEARS AGO:

1) Consent Form - English or Spanish

2)  History Form - English or Spanish

>>PREVIOUS PATIENTS - SEEN LESS THAN 2 YEARS AGO:

1) Consent Form - English or Spanish

COVID-19 Pre-Screening Questionnaire Only

*Notice of Our Privacy Practices

Envision Optique Privacy Practice – English
Envision Optique Privacy Practice – Spanish