Welcome Forms

Thank you for choosing Vista Eye Care for your eye health and vision care! We want your visit with us to be as efficient as possible, so we encourage you to complete your Welcome Forms electronically before you arrive. Please use the button below to securely complete your Welcome Forms online in order to save you clipboard time in our office:

Miscellaneous Forms

Other forms can found below (Forms are in PDF format and require Adobe Reader):

Form NameDescription
Notice of Privacy Practices – All Patients

 

This explains your rights under HIPAA, and how our office handles your privacy information.  Required for all patients.
Patient History – All New PatientsYour medical, eye health, and vision history. Required for all new patients.
Amniotic Membrane ConsentFor those patients being treated with an amniotic membrane for dry eye, chemical injury, eye infection, etc.
Cataract Surgery ConsentFor those patients who will be having cataract surgery post-operative care through our practice.
Custom Contact Lens PolicyFor those patients being fit in custom contact lenses, gas permeable lenses, scleral lenses, SynergEyes, or other custom contact lenses.
Extended Wear Contact Lens ConsentFor those patients that sleep in contact lenses, we ask that you complete this form.
InfantSEE HistoryMedical, eye health, and vision history for patients aged 6-12 months of age.
Punctal Plug ConsentFor those patients getting punctal plugs for dry eye treatment.
Release of LiabilityOur mission is to prevent eye disease before it affects vision. Our doctors strongly encourage all patients to have their retinas imaged and/or have a dilated examination of their retinas. Should a patient decline both of those exams, we ask that this form be completed after having your questions or concerns about your eye exam discussed with a doctor.
SPEED QuestionaireDry eye questionnaire for patients being seen for an Ocular Surface Disease Exam (OSDE).
Contributing Factors to MGDSystemic health questionnaire for patients being seen for an Ocular Surface Disease Exam (OSDE).

 

Attendance Policy

At Vista Eye Care, we pride ourselves in providing our patients with efficient, effective eye care. In order to provide our exceptional level of care for all of our patients, we have created a No Show Policy that applies to all patients who schedule appointments with us. Prior to your appointment, we will provide you with an email reminder, phone call reminder, and text message reminder. We understand that an unforeseen emergency, or changes in your schedule may occur, and we ask that you give us a 24-hour notice if you are unable to make it to your scheduled appointment in order to avoid a $25.00 cancellation fee.

If you have any questions about our Welcome Forms, Miscellaneous Forms, or Attendance Policy, or if you prefer to schedule your appointment by telephone, please don’t hesitate to call us at (303) 450-2020, or send us an email via our website.

Vista Eye Care

13695 Colorado Blvd. Thornton, CO 80602
Phone: (303) 450-2020
Fax: (303) 920-1440

Schedule an Appointment

Ready to schedule your annual eye check-up?