Patient Information

Patient Forms

The following forms can be downloaded to your computer and printed at home. By completing these forms ahead of time you will save significant time during your visit. If you have any questions when completing these forms, please do the best you can, and our staff will assist you on the day of your visit.

Please print and complete the appropriate forms:





note: The above documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

Office Hours


Retina Associates hours are 8:00 a.m. to 5:00 p.m. Monday through Friday. For emergencies, you can reach the on call physician outside of normal office hours by calling 1-855-784-2480.

To schedule or cancel an appointment, or to request a refill of prescription eyedrops during normal office hours, please call our main number at 520-886-2597 or use the website form to your right. We would appreciate at least a day's notice of appointment reschedule or cancellation.

Billing Information

For billing questions, please call (520) 733-8585 or (800) 769-5874.

If you have a medical question or concern, DO NOT USE THE FORM BELOW.
Please call our office at 520-886-2597.

If you would like to be contacted to schedule or reschedule an appointment, please complete the form below and a member of our staff will contact you no later than the next business day.