New Patient Center

In an effort to make you more comfortable when you arrive at our office and to streamline the new patient process, you will be able to complete all the necessary items prior to your first visit. At Pursuit Vision Center, we strive to make sure the time we spend with you during your visit is quality time.

Thank you for choosing us, we look forward to seeing you.

Please print forms below.

Bring the completed forms to your first appointment.

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Adult Patient Forms:

• Insurance Statement Form

• HIPAA Form

• Adult Initial Evaluation Form

• Adult Vision Questionnaire Form

• Patient Information Form

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Child Patient Forms:

• Insurance Statement Form

• HIPAA Form

• Child Initial Evaluation Form

• Child Vision Questionnaire Form

• Patient Information Form

• Teacher Questionnaire