Office Forms

One of the realities of modern healthcare is paperwork.  We apologize in advance for making you fill this out!  Although a nuisance, this paperwork gives our staff insight into your eye history and overall health.  These forms are also necessary for insurance and (in some cases) are required by Federal law.  We’ve posted our office forms here so you can complete them in the comfort of your own home.  Please call our office if you have questions.

Patient History Questionnaire    

Privacy Practices



 If you’ve gotten this far, you most likely will have no problem understanding that these are both PDF files.  Just in case you’re using a new machine without pre-installed PDF software, here you go: 



Dr. Peirce prefers the Foxit Reader as found here:

 The Foxit Reader seems to be faster and less resource intensive.