Patient Forms

Patient information & history form. | |
File Size: | 20 kb |
File Type: |
Patients new to our practice may complete this downloadable form prior to their visit.

Home Amsler Grid test. | |
File Size: | 158 kb |
File Type: |
This downloadable and printable form can help you detect early symptoms of AMD (age related macular degeneration). People or 65 yrs.. of age are at risk for AMD.
Smoking greatly increases this risk. We recommend weekly self-testing for those at risk for AMD.
Smoking greatly increases this risk. We recommend weekly self-testing for those at risk for AMD.