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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! NEW patients should complete their forms on a smartphone/computer/tablet PRIOR to their visit.

**If you are NOT able to complete these electronically – scroll down to the bottom of this page to download and print the appropriate forms. If you cannot print and fill out the forms please bring a complete list of medications to your visit.


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

  • Demographics
  • Insurance information
  • Health Questionnaire
  • HIPAA Consent
  • Financial Agreement and Billing Policy
  • Retinal Evaluation information

You can also click here to access the form link to fill out or finish the intake process.


Established Patients:
Please bring a complete list of medications to your appointment.
Please bring your habitual glasses and sunglasses to your appointment.


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

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