COVID-19 safety agreement
If different from your last exam:
How did you hear about our office?
Any changes in your eye history? If so, please note below:
Any changes in your medical history? If so, please note below:
Our optometrists perform both routine eye exams for glasses and contacts, as well as medical eye exams. Should your exam include additional testing and treatment for a medical eye condition (ex: dry eye, diabetes, ocular allergies, or glaucoma), your medical insurance may be billed. Please let our staff or your optometrist know if you have any questions regarding this policy.
Clarus digital image of the retina
Our doctors want every patient under the age of 4 to have the Clarus retinal image performed every year. This technology provides an ultra wide-field view of the retina and important structures of the eye, and eliminates the need for dilation drops in many (not all) cases. Comparing these images on an annual basis allows for early detection of eye disease. The fee for this image is $30 and is not usually covered by insurance.
