Online Forms

At A New Vision, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

All new patients must fill out a Patient Registration Form prior to their first examination. For our patients' convenience, we have supplied this registration form on our webpage so it can be printed out and completed prior to coming into the office. Bring this form in with you and save some time during your first visit to our office.

Patient Registration Form

Pediatric (Age 3-13) Patient Registration Form


Access Your Patient Records

TO ACCESS YOUR RECORDS, you must first contact our office. You will then be given a user name and password to access this information. Once you have received your user name and password, you can then log on HERE for your Medical/Vision records.


Download the Free AdobeReader®

Contact Us

We look forward to hearing from you.

  • "We have noticed a huge improvement with our son during and after completing his vision therapy with A New Vision. He is reading at a much higher level, his grades have improved, his confidence has increased, and homework is not taking so long. His improvements are life changing! Thank you so much!"
    D.H. / Beaverton, OR

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