VisionSource! - North America's Premier Network of Private Practice Optometrists
North America's Premier Network of Private Practice Optometrists

 

 

 

 

 

New Patients: Please print & complete the last page of the Notice of Privacy Practices & bring it with you to your appointment.  Also, if you haven't already filled out your pre-appointment questionnaire, please do so by clicking here.


Notice of Privacy Practices

(the last page should be printed, completed & brought to appointment)


Records Release Form
(authorizes us to get copies of your records from your prior doctor, optional)