Patient Forms

As an added security feature, our Patient Information Forms are now filled in and sent via a secure link that comes to your email address from our office.

You can call our office during our normal business hours to schedule a New Patient Exam, or you can access our “Appointment Request Page” or “Book Now” button at the bottom of our Home Page.


For our "Online" Covid forms, please go to the "Corona Virus Update" tab in Red, at the bottom left of  page.  


Paper Covid Forms:

The Forms below can be printed by you at home, filled in with pen or pencil, then select one of the following ways to deliver your form.

  • Bring in with you at your appointment
  • E-mail as an attachement to:
  • Fax to  712-276-3935. 


AAOIC Supplemental Informed Consent

AAOIC Supplemental Health Questionnaire


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