Advanced Optometry offers our patient form(s) online so they can be completed in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), fill in the required information, and e-mail or print the completed form.
- E-mail your form to ContactUs@advancedoptometry.com or Fax your completed form to 231-775-3925 or bring it with you to your appointment.
Medical History Form - Required
This lets us know the history and current state of your health. What questions, concerns or goals, regarding your vision, can we help you with? Let us know!
Adult Medical History - Fill out this editable form and e-mail it to ContactUs@advancedoptometry.com or print it and fax to 231-755-3925.
Youth Medical History - Fill out this editable form and e-mail it to ContactUs@advancedoptometry.com or print it and fax to 231-775-3925.
VIP Member Registration Form - Optional
This form can be filled out to register for access to the members only section of our website. You can also sign up for our monthly newsletter to keep up on current vision issues, as well as receive special promotions and invitations to VIP events in our office. Print out this form and bring it with you to our office. If you prefer, Download & Print Form