Click the button above for access to our PATIENT PORTAL. The portal also can be found at revolutionphr.com. Please call our office and our staff will be happy to help you establish your unique user name and log in information. This only needs to be done ONCE to gain access to your Portal for the first time.
Our Patient Portal allows you to:
• View your UPCOMING APPOINTMENTS
• CONFIRM your upcoming appointments
• Complete your required pre-examination INTERVIEW
• MESSAGE our office
• View your ORDERS, ACCOUNTS & VISION INFORMATION
Our Patient Portal allows you to:
• View your UPCOMING APPOINTMENTS
• CONFIRM your upcoming appointments
• Complete your required pre-examination INTERVIEW
• MESSAGE our office
• View your ORDERS, ACCOUNTS & VISION INFORMATION
Patient Forms
The medical information on this form will be added to your Electronic Health Record during your next vision examination. This form must be completed ONLY ONE TIME for each patient. This information will be electronically updated during all future examinations.
This form is different from the INTERVIEW screens that are contained in your PHR Patient Portal. Please print this form, complete it, and bring it to the office on or before the day of your appointment.
This form is different from the INTERVIEW screens that are contained in your PHR Patient Portal. Please print this form, complete it, and bring it to the office on or before the day of your appointment.
| COMPUTER DATA FORM |
This essential form gives us important information for our computer database. It is to be filled out by ALL NEW patients, OR if you have had a change in your contact information. You can directly fill out the form on your computer however, you cannot save information typed into this form. Please print your completed form and bring it to your appointment. You may also print the blank form and handwrite your answers.