Skip to main content

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 MUST complete their forms on a smartphone/computer/tablet PRIOR to their visit. All signatures will now be collected electronically. Please call our office if you are not able to complete these electronically – we will send a packet in the mail for you to complete at home and mail back to our office prior to your visit.


New Patients:
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 prior to visit (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 and update these 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 for your records.

Office Policies: HIPAA, Financial, and Retinal Evaluation

Retinal Imaging Vs. Dilation Options

Credit Card On File

x

**Click here to order contact lenses**

NEW HOURS Monday – Friday 9AM – 5PM

Please read — https://www.illumineyes.net/covid-19/

ALL NEW PATIENTS ARE REQUIRED TO COMPLETE OUR VIRTUAL CHECK-IN PROCESS PRIOR TO YOUR VISIT OR YOUR EXAM WILL BE RESCHEDULED