New Patient Information

When you come for your appointment, please bring the following items with you:
 
  • Your insurance cards
  • Your driver's license or other photo ID
  • Referral form from your primary care physician, if required
  • List of current medications with dosage and frequency
 
  • List of current eyedrops
  • Current glasses
  • 5 forms listed below in blue (Please complete the fillable forms, print the forms out and bring them to your appointment. You can also save and email them to NewPatient@heimereye.com)
*The newest version of Adobe Reader is needed to type directly into
the forms.
 
*During the course of treatment, in order to provide a thorough eye examination, the doctor may have to dilate your pupils. This can temporarily affect your vision.
 
 

New Patient Forms* Please complete the fillable forms, print the forms out and bring them to your appointment. You can also save and email them to NewPatient@heimereye.com

 

Patient Portal Log In

Patient Portal
 
Payment for services is required at the time of service unless you have an insurance plan with which we participate. All co-payments are due at the time of service. We accept cash, check, Visa, Mastercard, and/or CareCredit.

*Forms to be completed prior to initial visit. The newest version of Adobe Reader is needed to type directly into the forms.