Patient Center

We strive to make your experience at Johnson Eyecare & Eyewear 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.

Please click here to access the Patient Portal.

Patient Portal

Online Forms

For your added convenience, you may download these forms before your appointment or as needed. Please bring your printed and completed form(s) with you to your appointment or mail them to our office.

Authorization to Release Records – Online Form or Download & Print

Notice of Privacy Practices – Download & Print

Payment Agreement and Acknowledgement of Privacy Practices – Online Form or Download & Print

Medical History Form – Online Form or Download & Print

Prescription Release and Waiver – Online Form or Download & Print

Optima IPL Treatment Consent From – Download and Print

Pre/Post Treatment Information – Download and Print

Don’t forget to use your:

• Flexible Spending Plans
• Health Savings Accounts (HSA)
• Medical Savings Accounts (MSA)
• Cafeteria Plans for most of your eye care needs

All of the above plans can be used for all your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.