alarm-ringing ambulance angle2 archive arrow-down arrow-left arrow-right arrow-up at-sign baby baby2 bag binoculars book-open book2 bookmark2 bubble calendar-check calendar-empty camera2 cart chart-growth check chevron-down chevron-left chevron-right chevron-up circle-minus circle city clapboard-play clipboard-empty clipboard-text clock clock2 cloud-download cloud-windy cloud clubs cog cross crown cube youtube diamond4 diamonds drop-crossed drop2 earth ellipsis envelope-open envelope exclamation eye-dropper eye facebook file-empty fire flag2 flare foursquare gift glasses google graph hammer-wrench heart-pulse heart home instagram joystick lamp layers lifebuoy link linkedin list lock magic-wand map-marker map medal-empty menu microscope minus moon mustache-glasses paper-plane paperclip papers pen pencil pie-chart pinterest plus-circle plus power printer pushpin question rain reading receipt recycle reminder sad shield-check smartphone smile soccer spades speed-medium spotlights star-empty star-half star store sun-glasses sun tag telephone thumbs-down thumbs-up tree tumblr twitter tiktok wechat user users wheelchair write yelp youtube

Patient Forms

Use our secure electronic health history portal link to submit your information to our electronic records system. This system will help make your visit to Vision Source more pleasurable and efficient.

For your convenience, we have provided you with a list of the insurance carriers we accept at our Las Vegas optometry office, as well several downloadable forms to save you time at your next appointment. You can access the insurance list by clicking here.

New Patient Information:

Please take a few moments to fill out our health history information electronically through this secure link.

Existing Patients

Now you can create a secure personal health portal account to manage your healthcare information and to message your doctor. Click here to request a log-on or click here to sign in your patient portal account.