PRINTABLE FORMS & PATIENT PORTAL

In an effort to save our patients time during the check-in process, we have made several forms available as PDF files. Please click on each form, print and complete it, and bring the completed forms with you to your next appointment. Note: the Contact Lens Policy form is only necessary for patients who wish to have a contact lens exam.  

Medical and Family History form

Dilation/HIPAA/Insurance Release form

Contact Lens Policy form  

We also have the capability to allow our patients to fill out and update their personal information and health questionnaires online through our patient portal, an encrypted HIPAA compliant website. Please call our office at (865) 544-1677 and ask for your login ID and password today. Once you've received this information from our office, just click the link below to log in and access your patient health record. Once you have access to the portal, you can schedule future appointments, view your electronic health record, update your address and phone number, and view your last glasses prescription. We hope this will provide more efficient care when you arrive in our office.