Dr. Heloi Stark, O.D., P.C., Visual Image

Please print and complete these forms prior to your scheduled appointment. These forms are only for participating VSP members. Please bring eyeglasses, contact lenses, contact lens prescription information (boxes or vials), any pertinent medical history/records and these completed forms to your appointment.

Please print and complete these forms prior to your scheduled appointment. These forms are for all new patients (excluding VSP members). Please bring eyeglasses, contact lenses, contact lens prescription information (boxes or vials), any pertinent medical history/records, your vision insurance card (if any) and these completed forms to your appointment.

These forms are for all former patients returning to our office (excluding VSP members). Please print and complete these forms prior to your scheduled appointment. Please bring eyeglasses, contact lenses, contact lens prescription information (boxes or vials), any pertinent medical history/records, your vision insurance card (if any) and these completed forms to your appointment.

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