Welcome to the New Patient Center for Pursuit Vision Therapy
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 Therapy, 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