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Online Forms

At Utopia Optometry, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReaderĀ® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Bring the printed and completed form(s) with you to your appointment.
     

New Patient Forms

Save time at your appointment by completing our patient forms. Please print and fill out these forms and bring them with you for your appointment.

New Patient Questionnaire


Notice of Privacy Practices

We respect and protect your privacy and health information.
Please read our Notice of Privacy Practices.