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Ultimate Eye Care
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Patient Forms

Secure Patient Portal

Patient Forms

We want your eye exam to be as pleasant as possible. We would also like you to be well informed of our procedures before you visit so that you may plan accordingly. Our doctors prefer the Optomap Retinal Exam for every patient, every year. This is NOT covered by insurance and is currently $39 in addition to your copays. (It IS INCLUDED if you are not using insurance.) If you prefer NOT to have the optomap, we will ask you to dilate your eyes. For more information see the "Alternative to Dilation".

Click here to fill out Secure Medical History Form 

  • Home
  • Our Services
  • About Us
  • Patient Forms
  • Myopia Management
  • Optical
  • ONLINE STORE
  • Insurance
  • Contact Us
  • Links