Patient Forms

Patient Center

Our goal is to make your visit as smooth and enjoyable as possible. Here, you'll find info about your appointment and forms you need to fill out. You can complete these forms at home before your visit, making things quicker when you're here. Just click the link below that fits your needs. Any questions or concerns? Feel free to ask!​​​​​​​


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  • If you do not already have AdobeReader® installed on your computer, Click Here to download.

  • Download the necessary form(s), print it out, and fill in the required information.


Adult Forms

Child Forms

Personal Health Record

Visit www.RevolutionPHR.com to:

  • View your demographics and clinical summaries

  • Review and confirm your appointments

  • Check the status of your eyeglasses and contact lens orders

  • Access account status and billing statements

  • Utilize server messaging with the doctor

If you do not have a username and password, please contact our office.

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