Patient Forms

Visiting an Optometrist doesn’t have to be a hassle. The team at Leonard-Bennett Optometry (formerly Dr. Barry Leonard & Associates) is focused on making your vision health one of the easier priorities in your life. To help speed up the pre-appointment / check-in process, you can get a jump-start by downloading and filling out the forms below:

Below you can find our patient forms.

• Welcome Form
• New Patient Information Form (English)
• New Patient Information Form (Spanish)
• Myopia Control – Information Fees Informed Consent (English)
• Myopia Control – Information Fees Informed Consent (Spanish)
• Privacy HIPAA Form (English)
• Privacy HIPAA Form (Spanish)

Have questions? Find out why our practice is considered the best Optometrist in the valley by dialing 818-891-6711. You can chat with one of our friendly team members, or email us using our contact form.