Online Forms

At Ann C Waterman Doctor of Optometry PC, 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.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Demographic History Form 

Please complete this form as it lets us know your demographic information. Let us know what questions and/or concerns you may have. 

Download & Print Form

HIPAA Office Policy & Release of Information Form 

Review our office policy put in place to ensure the safety of your protected health information. 

Download & Print Form

Download the Free AdobeReader®