Patient Forms

We would like to help make your appointment with us as convenient for you as possible.

In order to expedite your check-in process, we have provided forms for you to complete in advance of your visit.
Please fill out the appropriate forms and bring them with you at the time of your appointment.
We’ll also need your driver’s license and insurance cards.

If you are a New Patient, please click the form below.  

If you are a Returning Patient, please click the form below.  

If you are a New LASIK Patient, please click the form below.  

Please click below to review and acknowledge our 24 Hour Cancellation & “No Show” Fee Policy.  

Please click below to review and acknowledge our COVID Treatment Consent Form.  

Please click below to take our Dry Eye and Allergy Patient Impact Questionnaire.  

Please click below to review and acknowledge our Notice of Privacy Practices.  

We always provide our patients with compassionate and customized care.

Did you know Pepose Vision
is also an advanced research facility?

Need help?

If you need assistance completing your new patient form, please contact us.
We'll be happy to help you so that we can make it more convenient for you when you arrive for your appointment.

Contact us