In an effort to save you time when you schedule an appointment with our vision center, you can download and complete our patient form(s) prior to your appointment.  You will need AdobeReader® to download and complete the forms.

New patients

Click and Complete:

Online Patient Registration Form

Print Patient Registration Form

Patient Responsibility & Medical History

Established patients

Once a year, download, print and complete:

Established (Returning) Patients


Fax your completed forms to 719-203-2818 or bring them with you to your appointment.