Optix Optometry - Patient info form and HIPAA form

Forms

Optomap Policy

Our Optomap Retinal Screening Policy is effective October 1, 2020.

Patient Info Form

You can now fill out our Optix Optometry Patient Information form online using a simple link. You can even upload your health insurance card for a contactless option!

Don't worry - it's HIPAA compliant. Try it out here!

If you would rather print and fill out the form, simply print and fill out the form here.

HIPAA form

View our HIPAA notification anytime.

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