Below are documents to download for use in our office. If you prefer to download and print these forms to fill out at home they can be brought with you to our office at your next visit or fax them to: (570) 374-8473.
Registration form for new patients to our practice.
Records Release authorization to send patient's record or other information to other provides.
Consent and information about the risks and benefits wearing contact lenses.
Copy charge to send a patient's chart to another provider.
Dilation consent and about the risks and benefits of dilation.
Monovision consent and about the risks and benefits of monovision.
Notice of your Privacy Rights and our offices Privacy Practices.
Receipt for our office Privacy Practices.