Children's Eyecare -- Online Forms

For your convenience, we have provided the following online forms for your use.

• Welcome/Medical History
• HIPAA Privacy Policy
• HIPAA Signature and Insurance Signature
• Convergence Insufficiency Form
• Developmental History

These PDFs require a free plug-in that may have come included with your browser. If you are having difficulties opening these files Click Here to go to Adobe's web site for Adobe's PDF reader.