Online Forms 2017-05-17T12:28:50+00:00

Online Forms

Thank you for taking a moment to fill out the new patient form, it will save you time at your appointment!

LinkToForm

If filling out the form electronically, please be sure to save after filling it out, thank you!

Submittal Instructions

This information is necessary to properly submit claims through your insurance and will provide our doctors with the opportunity to carefully consider your medical history and visual needs before beginning your examination. It is also helpful to bring your glasses and/or contacts with you to your appointment.

The form can be either printed out or filled out electronically:

  • Simply click the icon or link to print from home. Then you can fax the completed forms to 307-460-3114 or just bring it with you to your appointment.
  • Or click the icon or link below and fill out the form electronically, then attach it in an email to laramievisionclinic@gmail.com before your appointment.

The form is a .pdf file and can be read using Adobe Reader, or may be seen directly through a modern web browser.

After you’ve saved and sent your information, click below to reserve your appointment time

Create my Reservation Now