608-825-2020

2808 Prairie Lakes Dr Ste 106

Sun Prairie, WI 53590

1455 West Main St

Sun Prairie, WI 53590

PATIENT FORMS

GET A HEAD START

New Patients
Returning Patients (3+ Years Since Last Exam)

If you are new to our practice or it's been more than three years since we last saw you, please take the time to fill out the forms below.  Return them to our office on the day of your exam.  If you are unable to complete this process, please stop in 10 minutes before your exam to fill these out.

Welcome to Our Office

Medical History

Optomap Patient Form

Acknowledgment of Receipt (HIPAA)

Notice of Privacy Policy (HIPAA)