Download Forms & Documents

The following are links to downloadable forms used by Vitreo-Retinal Associates. These are PDFs or Portable Document Format files that require either a compatible Web browser or Adobe Acrobat Reader to open and print.

The Patient Registration form can be completed before you arrive for your first check-in or it can be completed at the office. To expedite any check-in, please download, print and complete any appropriate forms, and bring them to your appointment.

• Patient Registration Form — Required for all new patients

• Established Patient Registration Form — Shorter form required annually only for established patients

• HIPAA Privacy Policy Form

• Self-Pay Restrict Release Form

• Signature-On-File Form

• Medical Record Release Form