Patient Forms

Jun 9, 2023

Save Time and Streamline Your Visit

At David J Scholten, OD, PC, we understand that your time is valuable, and we strive to make every aspect of your visit as convenient and efficient as possible. To ensure a smooth and hassle-free experience, we have provided a variety of patient forms that you can download and complete prior to your appointment. By filling out these forms in advance, you can minimize wait times and help our team better understand your needs.

How to Access and Fill out Patient Forms

To access the patient forms, simply visit our website at http://davidjscholten.com/patient-resources/patient-forms. You will find a comprehensive list of forms that cover various aspects of your medical history, insurance information, and consent for treatment. Click on each form to open a PDF version that you can download and print.

New Patient Forms

If you are a new patient, we kindly request that you complete the New Patient Intake Form. This form collects basic information about your personal details, medical history, and any specific concerns or symptoms you may have. Providing accurate and thorough information will help our optometrists tailor their approach to your needs.

Insurance Information

If you have insurance coverage, we recommend filling out the Insurance Information Form. This form asks for details about your insurance provider, policy number, and any relevant information that can help us verify your coverage and process claims efficiently. Providing this information helps us take care of the administrative aspects of your visit with ease.

Consent and Authorization Forms

We prioritize your privacy and ensure that all your personal information is handled with strict confidentiality. As part of our commitment to transparency and informed consent, we provide Consent and Authorization Forms that outline your rights, our privacy practices, and your acknowledgement of our policies.

Specialty Forms

In addition to the standard forms, we offer specialty forms that may be necessary for specific services or procedures. If you are visiting our clinic for specialized treatments such as contact lens fittings, vision therapy programs, or pre-operative evaluations, there may be additional forms relevant to your situation. Our team will guide you on which forms are applicable and provide any necessary instructions.

Complete Your Forms in Advance

To make the most out of your visit, we strongly encourage you to complete the patient forms in advance and bring them with you to your appointment. This will help expedite the check-in process and allow our team to focus on addressing your eye health needs.

Contact Us for Assistance

If you have any questions or encounter issues while accessing or filling out the patient forms, please do not hesitate to reach out to our friendly staff. We are here to assist you and ensure that your experience with David J Scholten, OD, PC is nothing short of exceptional.

Conclusion

By providing comprehensive patient forms that cover essential information, David J Scholten, OD, PC aims to enhance the efficiency and quality of your visit. Our commitment to streamlining the paperwork process allows us to dedicate more time to providing personalized eye care services tailored to your needs.

Thomas Gill
Thank you for sharing! This will definitely make my visit easier.
Nov 8, 2023
Andrew Small
This is so helpful! 🙌 Will definitely save me time!
Oct 12, 2023