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(417) 886-3937 (EYES)

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417-886-3937

(417) 886-3937

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        • Benjamin P. Haden, MD
        • David A. Nasrazadani, MD
        • Drew A. Young, MD
        • Jacob K. Thomas, MD
        • James B. Mattax Jr., MD
        • Leo T. Neu III, MD

        • Optometry

        • Marla C. Smith, OD
        • Matt T. Smith, OD
        • Michael S. Engleman, OD
        • Joseph G. Arnold, MD
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  • Our Story
  • Doctors
    • Ophthalmology
    • James B. Mattax Jr., MD
    • Benjamin P. Haden, MD
    • Leo T. Neu III, MD
    • Drew A. Young, MD
    • Thomas G. Prater, MD
    • David A. Nasrazadani, MD
    • Jacob K. Thomas, MD
    • Joseph G. Arnold, MD
    • Optometry
    • Michael S. Engleman, OD
    • Matt T. Smith, OD
    • Marla C. Smith, OD
  • Services
    • Advanced Vision Correction
    • LASIK
      • LASIK Photo Tour
      • LASIK Testimonials
    • Cataracts
      • Cataract Photo Tour
      • Cataracts Testimonials
    • PRK
    • Implantable Lifestyle Lenses
    • Monovision
    • Lens Replacement
    • Additional Services
    • Diabetic Retinopathy
    • Glaucoma
    • Macular Degeneration
    • Eyelids
    • Cornea
      • Fuchs' Dystrophy
      • Dry Eye
      • Keratoconus
    • Optical
      • Contact Lenses
  • Surgery Center
  • Patient Resources
    • Patient Forms
    • Pay My Bill
    • Affordable Options
    • Patient Portal
    • News and Events
  • Contact
    • Testimonials
    • Careers
    • Request an Appointment
    • Locations

  • Our Story
  • Doctors
    • Ophthalmology
    • James B. Mattax Jr., MD
    • Benjamin P. Haden, MD
    • Leo T. Neu III, MD
    • Drew A. Young, MD
    • Thomas G. Prater, MD
    • David A. Nasrazadani, MD
    • Jacob K. Thomas, MD
    • Joseph G. Arnold, MD
    • Optometry
    • Michael S. Engleman, OD
    • Matt T. Smith, OD
    • Marla C. Smith, OD
  • Services
    • Advanced Vision Correction
    • LASIK
      • LASIK Photo Tour
      • LASIK Testimonials
    • Cataracts
      • Cataract Photo Tour
      • Cataracts Testimonials
    • PRK
    • Implantable Lifestyle Lenses
    • Monovision
    • Lens Replacement
    • Additional Services
    • Diabetic Retinopathy
    • Glaucoma
    • Macular Degeneration
    • Eyelids
    • Cornea
      • Fuchs' Dystrophy
      • Dry Eye
      • Keratoconus
    • Optical
      • Contact Lenses
  • Surgery Center
  • Patient Resources
    • Patient Forms
    • Pay My Bill
    • Affordable Options
    • Patient Portal
    • News and Events
  • Contact
    • Testimonials
    • Careers
    • Request an Appointment
    • Locations

Patient Forms

Download and print each of the forms below, fill them out, and bring with you to your appointment.

Book an Appointment
Vision Quiz
Book an Appointment
Vision Quiz
Notice Of Privacy Practices Form
Health and Medication Information Form
Patient Information Form
Medical Records Request Form
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Affordable Options

Convenient, flexible FINANCING makes vision correction even more affordable.

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Patient Portal

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Book Appointment

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Affordable Options

Affordable Options

Convenient, flexible FINANCING makes vision correction even more affordable.

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Patient Portal

Patient Portal

Login to our Patient Portal.

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Book Appointment

Book Appointment

Need to book an appointment? Click here and get started!

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