Patient Resources

Patient forms, ready when you are.

Download and complete the form that applies to your visit. Our patient documents are fillable PDFs, so you can type into them before printing or bringing them with you.

Patient Forms & Documents

Prepare before your visit and spend less time on paperwork in the office.

Choose the form you need below. If you are a new patient, start with the New Patient Information Packet.

5-page fillable PDF

New Patient Information Packet

Complete your registration, health and eye history, insurance information, communication preferences, and required acknowledgments before your first visit.

Download PDF ↓
3-page fillable PDF

Dry Eye Center Intake Questionnaire

Tell us about your symptoms, triggers, prior treatments, contact-lens experience, relevant health factors, and what you most want to improve.

Download PDF ↓
2-page fillable PDF

Contact Lens History & Evaluation Form

Share your current lens type, wear habits, comfort, visual goals, prior problems, and fitting preferences before a contact-lens visit.

Download PDF ↓
2-page fillable PDF

Authorization to Release or Obtain Health Information

Use this form when you want New Path Vision to obtain records from, or send records to, another person, provider, practice, or organization.

Download PDF ↓
2-page fillable PDF

Patient Request for Copy of Medical Records

Request access to your own New Path Vision records and indicate the records, format, and delivery method you prefer. Paper copies may involve a reasonable copying charge.

Download PDF ↓
2-page fillable PDF

Minor Patient Authorization

A parent or legal guardian can designate another adult for defined routine activities involving a minor patient.

Download PDF ↓

Protect your health information

Complete the forms at home and bring them with you to the practice.

Completed patient forms can contain protected health information. Please bring completed forms with you to your appointment. If you need another way to return a form, call New Path Vision at 610-326-2754 for instructions.

Do not send completed forms, diagnoses, medication details, eye photographs, or other sensitive medical information through the general website contact form or ordinary email.

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Before your appointment

A few things are worth bringing even if you complete your forms in advance.

  • Your current glasses and contact lenses
  • A current medication and supplement list
  • Your medical insurance and vision-plan cards
  • Relevant prior eye-care information if our team asked you to bring it
  • A list of questions, symptoms, or changes you want to discuss

Privacy documents

The website privacy policy and HIPAA Notice of Privacy Practices serve different purposes.

The website privacy policy explains how the public website handles website-related information. New Path Vision’s Notice of Privacy Practices explains how the practice may use and disclose protected health information, describes patient rights, and identifies the Privacy Officer.

The current Notice of Privacy Practices is available online and from the office in paper form upon request.