Patient Forms

Our Patient Intake Forms are below. Please download, print, and bring completed forms to your appointment.

Let us know if you have any questions.  We look forward to seeing you!

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Digital Retinal Imaging 

 

As part of your comprehensive eye exam, you can elect to have a special procedure that consists of taking a photograph of the back portion of your eye (retina). This advanced technology produces a detailed photographic image of not only the retina, but also its blood supply and the optic nerve which connects your eyes to the brain. 

These photos and the new technology become a permanent record of your eye health which enables the Doctor to help detect subtle changes earlier and diagnose possible disease sooner. Any change to your eye health is easier to recognize and if needed can easily be transferred to other health care providers. 

Diseases that can be detected with Retinal Photography includes: 

  • Diabetes
  • Glaucoma
  • Macular Degeneration
  • Hypertension
  • Retinal abnormalities
  • Cholesterol
  • Stroke
  • Cataract 

In most cases dilation is not needed for retinal photos, however dilation may be required by your doctor. Screening digital retinal photography is not covered by many vision/medical insurance plans.