To speed your check-in process and make your visit to Parkwood Vision Center as pleasant as possible, we have included a list of forms that we use for new or returning patients. Please select the applicable forms from the list below, print, fill out and bring the form or forms with you to your next office visit. We can help you determine which ones we will need based on the type of visit you are coming in for:

download: New Patient History (89.50KB) added: 15/01/2010 clicks: 93 description: The patient’s medical history and related information

download: Returning Patient Information Update (66.58KB) added: 15/01/2010 clicks: 43 description: Used to inform Parkwood Vision Center of any changes to a returning patient’s medical history or related information.

download: Health Insurance Portability and Accountability Act (100.68KB) added: 15/01/2010 clicks: 53 description: We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information. Please sign and date the third page. It will become a permanent part of your medical record.

download: Contact Lens Wearer Agreement (94.55KB) added: 15/01/2010 clicks: 61 description: This agreement specifies the terms of use for new contact wears and will be required to be prescribed contact lenses from By Doctor Pope.