Before your appointment
- All new optometry@cooroy adult patients must fill out the form below before your appointment date.
- If you prefer to fill out the form by hand, you can download and print the Adult Questionnaire PDF to bring to your appointment.
- Please also refer to our insurance and billing information.

The following form features a ‘Save and Continue’ option.
This enables you to save your progress and return later without starting from scratch. You can locate this option at the bottom of the form. After selecting it, you can either receive a link directly or provide your email address to have the link sent to you. This allows you to resume completing the form at your convenience.