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Online Patient Pre-registration Forms

Thank you for making an appointment at Advanced Valley Eye Associates. We value your time, and want to make your experience in our office the very best.

You can save time by completing the "Pre-registration forms" before your scheduled appointment. These forms are to be done online and does not have to be done all in one sitting (just remember your registration number and password).  To access the online forms, please click the link labeled, "online patient pre-registration forms" below.  Below are links to our privacy policy (HIPPA) and our financial policy.  Please review all the forms below before coming in to your appointment!  This will save you a lot of time on the day of your appointment!  Of course, if you should have any questions, feel free to call us earlier, or our friendly staff will be able to assist you on the day of your appointment!

Privacy Policy (HIPAA)

Practice and Financial Policy Agreement

Online Patient Pre-registration Forms

New Patient Appointment Forms

Please read the links below if any of them apply to you and fill out those forms before coming into our office for your appointment.  If you have any questions about these forms, please give our office a call or ask one of our friendly staff on the day of your appointment

Minor Permission

Release Of Prior Medical Records

Patient Information Hand-Outs

Please download and print our information forms! Click below to open the printable file for your use. Thank you for using these for your personal use only, but feel free to share them with your family and friends.



Chalazion & Hordeolum

Dry Eyes & Artificial Tears

Flashers & Floaters


Macular Degeneration & The Amsler Grid

Macular Degeneration & Retinavites

Macular Pucker / Epiretinal Fibrosis


Pterygium & Pingueculum

Yag Cap

THIS ---->https://lasikbymillercom.imatrixbase.com/online-forms.html

Office Hours

Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8AM 8AM 8AM 8AM 8AM Closed Closed
5:30PM 5:30PM 5:30PM 5:30PM 2:30PM Closed Closed

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