Thank you for taking the time to fill out this form prior to your appointment. This form goes over your current concerns about your eyes and vision, as well as reviewing your health history.
Note: Existing patients - we do have some of this information as part of your record from previous visits, but we ask that you update it once again as medications, symptoms, etc can change over the course of a year. Thank you!
Announcement: Battle Born Eye Care is now pleased to offer digital retinal imaging as part of our comprehensive eye exams. We believe the combination of dilation and retinal imaging allows for the best of all worlds: a real time view of the posterior structures of the eye combined with a digital image that provides easy comparison of the ocular structures from year to year. The fee for the digital retinal imaging is $39.