Patient Forms

Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or on the Get Adobe Reader icon.


Please help us serve you better by keeping your regularly scheduled appointment. Our most important concern is your vision. You are being seen here for a retinal problem. Many of these conditions can progress without obvious symptoms or change in vision. Periodic monitoring of your condition is essential to minimize your risk for vision loss so it is imperative that you see us. We understand that scheduling changes do occur, but we ask that you kindly give us at least 24 hours notice if you need to reschedule.

Payment Options

We accept VISA, Mastercard, debit or cheque for payment.

If your account is over 90 days past due, your account may be sent to our collection agency for review and follow up.