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Patient Center

Welcome to our patient center! We strive to make your experience at our office as convenient and pleasant as possible. This area of our website provides the information about what to expect at your appointment. In addition, the forms required at the time of your visit are available online to provide the convenience of completing them in the comfort of your home prior to your appointment.

PERSONAL HEALTH RECORD

Visit www.RevolutionPHR.com to:

  • View your demographics and clinical summaries
  • Review and confirm your appointments
  • Check the status of you 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.


ONLINE FORMS

We want to get your eye examination started soon after you arrive. To help process your paperwork, we ask that you click on the appropriate link below.  You can complete and print the form or submit it electronically.  This form will allow us to better assess your eye health and visual needs.  What questions, concerns, or goals can we help you with? Let us know!

New Patient, Adult Form - Download & Print FormSubmit Online

Previous Patient, Adult Form - Download & Print FormSubmit Online


New Patient, Child Form - Download & Print Form | Submit Online

Previous Patient, Child Form - Download & Print Form | Submit Online

 


Non-Discrimination Policy - Download & Print