New Patient Information Packet
Complete your registration, health and eye history, insurance information, communication preferences, and required acknowledgments before your first visit.
Download PDF ↓Patient Resources
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
Choose the form you need below. If you are a new patient, start with the New Patient Information Packet.
Complete your registration, health and eye history, insurance information, communication preferences, and required acknowledgments before your first visit.
Download PDF ↓Tell us about your symptoms, triggers, prior treatments, contact-lens experience, relevant health factors, and what you most want to improve.
Download PDF ↓Share your current lens type, wear habits, comfort, visual goals, prior problems, and fitting preferences before a contact-lens visit.
Download PDF ↓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 ↓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 ↓A parent or legal guardian can designate another adult for defined routine activities involving a minor patient.
Download PDF ↓Protect your health information
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.
Contact the Practice →Before your appointment
Privacy documents
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.