NEW PATIENTS
New patient form
Tell us about yourself and provide the information we need for your visit.
Download patient form PDF document · opens in your browserLESS PAPERWORK. MORE PEACE OF MIND.
Ready for your visit.
Download, print, and complete your new patient form before your appointment. Bring the completed form with you to the office.
YOUR HEALTH INFORMATION
Notice of Privacy Practices
Read how the practice uses and protects patient health information.
Read privacy notice PDF document · opens in your browserA FEW HELPFUL DETAILS
Simple steps before you arrive.
Open the PDF.
Use your browser or a PDF reader to view the form, then print a copy.
Complete and bring it.
Bring the completed form to your appointment, along with your current glasses or contacts, medication list, and insurance information.
Need a hand?
Call (435) 283-5555 with questions about the paperwork. Our team can help you prepare.
PERSONAL CARE. RIGHT HERE IN EPHRAIM.