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NEW PATIENTS RECEIVE $60 OFF FIRST EXAM FEE.*EXCLUSIONS APPLY

Online Forms

At Villa 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 the free AdobeReader®.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Bring your completed & printed form with you to our office when you come 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 your have regarding your eye health or vision on the form. The form below is a fillable form that can be completed before you print.

Download & Fill out our Printable Form in English

Download & Fill out our Printable Form in Spanish