BLOG for Msgr. Leo

       

St. Philip Catholic Church

St. Joseph Catholic Church


    

                      

                  

                      

 

 

PATIENT FORM LINKS 

New Patients: 

Please complete all 5 forms listed 1 week prior to your appointment. 


Patient History
Check In Forms
Notice of Privacy Practices
Screening Tests 
Records Release Authorization

       

PLEASE READ  

Your history forms are an important part of the vision and health exams you receive from our office. The information allows Dr. Valella  to evaluate your vision system and how it relates to your health and lifestyle. Thoroughness relies on your compliance in answering all questions. 

  

Please remember to bring both your vision and health
insurance cards, glasses and contact lenses.

 

Payment is due when services are rendered.

  

  

 We look forward to "seeing" you.