Welcome to Larson Eye Center! We are very happy that you have chosen us for your eye care needs.
We know your time is valuable and we will work hard to accommodate you. To save time, you can download and print our new patient forms. Please bring them with you to your first visit along with your current glasses and/or contact lenses.
We look forward to becoming the office you can trust for all of your eye care needs!
Please click on the forms below to download in printable Adobe PDF format:
New Patient Registration - Child
Please allow 90 minutes for your child’s comprehensive eye exam. All new patient comprehensive exams include dilation. Emergency visits may or may not require dilation.
- New Patient Child Demographic and Financial Policy Form
- New Patient Medical History Form
- Contact Lens Policy (for patients currently wearing or interested in wearing contact lenses)
- Notice of Privacy Practices (HIPAA)
New Patient Registration - Adult
Please allow 90 minutes for your comprehensive eye exam. All new patient comprehensive exams include dilation. Emergency visits may or may not require dilation.
- New Patient Adult Demographic and Financial Policy Form
- New Patient Medical History Form
- Contact Lens Policy (for patients currently wearing or interested in wearing contact lenses)
- Notice of Privacy Practices (HIPAA)
Miscellaneous Forms
- Contact Lens Policy (for patients currently wearing or interested in wearing contact lenses)
- Refraction Policy
- Financial Policy
Consent Forms
- Consent for A-Scan
- Consent for Cataract Surgery
- Consent for Chalazion
- Consent for Dacryocystorhinostomy
- Consent for Ectropion
- Consent for Entropion
- Consent for Fasenella Servat
- Consent for Lower Lid Blepharoplasty
- Consent for Upper Lid Blepharoplasty
- Consent for Punctal Plugs
- Consent for Ptosis Surgery
Laser Consent Forms
- Consent for Argon Laser Trabeculoplasty
- Consent for Focal Laser - Macular Pan-Retinal Photocoagulation
- Consent for Peripheral Pan-Retinal Photocoagulation
- Consent for Retinapexy
- Consent for YAG Laser Capsulotomy
- Consent for YAG Peripheral Iridotomy
Refractive Consent Forms
LASIK Self Evaluation Test
Custom LASIK
Please click on the button below to request an appointment.
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