New Patient Center

Welcome to the New Patient Center for Pursuit Vision Center

We understand that your time is precious and that you need an optometrist who is professional, yet convenient for your lifestyle. In order to make the transition to our office smoother for you, we have created a New Patient Center with everything you need to get started.

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.


Here are the list of our downloadable forms:


Adult Private Pay:

Insurance Statement
Click Here to download form

HIPPA Form
Click Here to download form

Adult Initial Evaluation Form
Click Here to download form

Adult Vision Questionnaire
Click Here to download form

Patient Information Form
Click Here to download form

Safety Protocols
Click Here to download form


Child Private Pay:

Insurance Statement
Click Here to download form

HIPPA Form
Click Here to download form

Child Initial Evaluation Form
Click Here to download form

Child Vision Questionnaire
Click Here to download form

Patient Information Form
Click Here to download form

Safety Protocols
Click Here to download form



Teacher Questionnaire

Click Here to download form

Contact Us

We look forward to hearing from you.

Locations

Find us on the map

Hours of Operation

Our Regular Schedule

Lancaster Office

Monday:

9:00 am-5:30 pm

Tuesday:

9:00 am-5:30 pm

Wednesday:

9:00 am-5:30 pm

Thursday:

9:00 am-5:30 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed