Patient Center

Welcome to our patient center! We strive to make your experience at our office as convenient and pleasant as possible. This area of our website provides the information about what to expect at your appointment. In addition, the forms required at the time of your visit are available online to provide the convenience of completing them in the comfort of your home prior to your appointment.

PERSONAL HEALTH RECORD
Visit www.RevolutionPHR.com to:

  • View your demographics and clinical summaries
  • Review and confirm your appointments
  • Check the status of you eyeglasses and contact lens orders
  • Access account status and billing statements
  • Utilize server¬†messaging with the doctor

If you do not have a username and password, please contact our office.

Online Forms

We want to get your eye examination started soon after you arrive. To help process your paperwork, we ask that you click on the appropriate link below, complete and print the form, then either fax it or bring it with you to your exam. This form will allow us to better assess your eye health and visual needs.

Adult Health History Online Forms - Download & Print Form

This lets us know the history and current state of your health. What questions, concerns, goals, regarding your vision can we help you with? Let us know!


Child Health History Form - Download & Print Form

This lets us know the history and current state of your child's health. What questions, concerns, goals, regarding your vision can we help you with? Let us know!


Non-Discrimination Policy - Download & Print