Please note: Payment is due at the time of service.
Thank you for understanding!

Please note: Payment is due at the time of service. Thank you for understanding!

Patient Forms

Your Patient Forms at Haas Vision Center

New Patient Registration

If you are a new patient at Haas Vision Center, we may ask that you fill out this form prior to your visit to save you time at check-in.

Digital Form

PDF Form

Cataract Questionnaire

If you are visiting us for a Cataract Consultation, our team will ask you to fill out this additional survey to help us determine your lifestyle preferences after cataract surgery.

Digital Form

PDF Form

refer a patient patient forms haas vision center

Privacy Policy

PDF Form

Questions?

Call: (719) 419-6632

Fax Number

Fax: (719) 521-4428

Home Phone

Patient Forms

Your Patient Forms at Haas Vision Center

New Patient Registration

Cataract Questionnaire

Privacy Policy

Questions?

Call: (719) 419-6632

Fax Number

Fax: (719) 521-4428

Address

Hours