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:

• Downers Grove New Office Brochure

New Patient Registration - Child

• New Patient Child Demographic
• New Patient Medical History Form
• Refraction Policy
• Privacy Practices (HIPAA) Signature Form
• Notice of Privacy Practices

New Patient Registration - Adult

• New Patient Adult Demographic
• New Patient Medical History Form
  
• Refraction Policy
• Privacy Practices (HIPAA) Signature Form
  
• Notice of Privacy Practices (HIPAA)

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

• Consent for LASIK
• Consent for Epi-LASIK
• Consent for PRK
• Consent for Bilateral PRK
• Consent for Refractive Lens Exchange