At Lum Optometry, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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Download the necessary form(s) and fill in the required information.
Fax or email us your completed form(s) or bring them with you to your appointment.
Here at Lum Optometry, we love meeting new patients. Part of easing your concerns is explaining what you can expect from our practice. When you are new to our office, we put in the effort to provide you with a positive and comforting experience. Once you have been with us for a while, you can continue to expect the highest level of service. We focus on providing quality optical care, excellent customer service, and a relaxing environment to maintain a lasting patient relationship. We consider your first visit the start of a long-term relationship with you.
Remember to wear your contact lenses or glasses into your appointment.
Bring in ALL of your eyeglasses (including reading or computer glasses), prescription & non-prescription sunglasses and current contact lens boxes if available.
Bring your FSA (flexible spending account) or HSA card to your appointment. (Not sure if you have one, please ask for details!)
Medical History Form
HIPAA Form
Please share the children’s information forms with all of your friends and family. As a parent myself, I know that protecting our children’s vision is the most important thing we can do as parents.