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262 Main Dunstable Road, Nashua, NH 03062

  • 9:00 AM - 5:00 PM
  • 9:00 AM - 5:00 PM
  • 9:00 AM - 5:00 PM
  • 9:00 AM - 5:00 PM
  • 9:00 AM - 5:00 PM
  • Closed
  • Closed
Home ยป Virtual Check-in

Virtual Check-in

NEW SMOOTHER CHECK IN NOW AT ILLUMINEYES

You can now fill out your check in forms from the comfort of your own home! All patients should complete their forms on a smartphone/computer/tablet a few days PRIOR to their visit. All signatures will now be collected electronically.

**If you are not able to complete these electronically – scroll down to the bottom of this page to download and print the appropriate forms (new patient vs established patients). If you cannot print and fill out we will either have you complete the forms in office or we can mail you copies of the forms.


New Patients Electronic Process:
Prior to your appointment you will receive an email/text from our office with your NEW PATIENT forms. Please take the time to fill this out at least 3 days prior to visit (will take 5-15 mins).

  • Demographics
  • Health Questionnaire
  • HIPAA Consent
  • Financial Agreement and Billing Policy
  • Retinal Evaluation
  • Contact Lens Policy – (for contact lens patients only)

Established Patients:
Prior to your appointment you will receive an email/text from our office with your CHECK IN forms. Please take the time to REVIEW these updated forms prior to your visit (~5 mins).

  • Financial Agreement and Billing Policy
  • Retinal Evaluation
  • Contact Lens Policy – (for contact lens patients only)

Below please find links to copies you can print off or fill out for your records.

New Patient Intake Form
all new patients or patients not seen in the office in the past 3 years

HIPAA and Consent to Treat Form
all new patients or patients not seen in the office in the past 3 years

Digital Dilation Optos
all patients (no signature required, please review)

Financial Policy and Credit Card on File
new patients (signature required) / established patients (please review)

Contact Lens Policy
all contact lens wearers