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At Vision Enhancement Center of 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 AdobeReader® to download and complete the forms. Click here to download.
  • Please download the required form(s). Print out the form(s) and complete the required information.
  • Please fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.

Download & Print Form

For children below the age of 18 years, please fill out the Pediatric Form.  This allows Dr. Nguyen to further assess the child's visual needs to determine the most efficient form of treatment, both visual and educational.  Let us know what questions, concerns, and goals you have regarding your child's eye health or vision on the form.

Pediatric/Kids Form

Notice of Privacy Practices


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