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Online Patient Registration Form

lock icon Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.

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COVID-19 Update – May 13, 2020

Our Sugarland and North Shore offices are open by appointment only for routine eyecare.

The Woodlands and Wharton offices are remaining closed for the time being.

Click HERE For Important COVID-19 Updates and HERE for Telehealth for Ritz Eye Care.