Vision Source

Before your first visit

New Patient Forms

Ten minutes on the couch tonight, and tomorrow you walk right past the clipboard. Do the paperwork on your phone and your first visit starts with the doctor, not the pen.

  • About ten minutes
  • Works on a phone, nothing to print

The forms open in a new tab. Not booked yet? Book your appointment first, then do the forms any evening before your visit.

What do the new patient forms ask for?

Who you are and how to reach you, your insurance, your eye and health history, and the medicines you take. Keep your card and your medicines list beside you and the whole packet is done in one sitting. Press send and it lands at our front desk.

Leave blank anything that does not apply. If it matters, we will ask at the visit.

What should I bring to my first visit?

Your insurance card, your current glasses or contact lens boxes, and a list of your medicines. Set them by the door the night before and you are ready. That is all we need to bill your plan, read your old prescription, and give the doctor the full picture.

  • Your insurance card, or a photo of the front and back, so we can bill your plan
  • Your current glasses, or the boxes from your contact lenses, so we can read the prescription
  • A list of the medicines you take, including eye drops and anything over the counter
  • Sunglasses, in case we dilate your eyes

Wondering whether your plan works here? We check your insurance benefits before your visit, so you know your copay before you leave the house.

What if I arrive without doing the forms?

Come on in anyway. Give yourself a few extra minutes, and one of us at the front desk will walk you through the packet before the doctor calls you back. The paperwork should never eat into your exam time.

Book Your First Eye Exam in Titusville

Tell us which office and a time of day that works, and we will call you back to set it. The new patient forms can wait until the night before. We answer (321) 269-2021 Monday through Friday, 8am to 5pm.

  • One number reaches both of our offices
  • New patients are welcome, and we check your insurance before your visit
  • Bring your current glasses or contacts and your insurance card
  • We have been independent and local since 2004

4.9 stars from more than 2,000 Google reviews

The upstairs waiting room at Aker Eye Downtown, with the check-in window on the right
Downtown, waiting roomThe upstairs waiting room at Aker Eye Downtown, with the check-in window on the right

Questions new patients ask us about the forms

Who is the best eye doctor in Titusville for a new patient?

Most new patients in Titusville find us the same way, a neighbor's word and a look at Google: 4.9 stars from 2,027 reviews as of September 2026. Dr. Greg Aker and Dr. Amanda Aker see new patients at Downtown, Dr. Sarah Koehnemann and Dr. Jennifer Bradley at Playalinda, and we have been here since 2004. Fill in your forms online, then call (321) 269-2021 or book online and we will get you in.

How long do the new patient forms take?

About ten minutes. The forms open in your browser, and you can do them on a phone, a tablet, or a computer. Have your insurance card and your list of medicines next to you and it goes faster. Once you send them, they come straight to us, and there is nothing to print or bring.

Do I need to print anything?

No. Everything is online, and once you press send it reaches us. If you would rather not do the forms online, come in a few minutes early and we will help you fill them in at the front desk. Either way, the doctor sees you on schedule.

What if I arrive without doing the forms?

Nothing bad happens. Tell us at the desk and we will help you through them before the doctor sees you. Give yourself a few extra minutes, and bring your insurance card and your medicines list so we are not guessing at either.

Which office should a new patient choose?

Whichever is closer, unless you need a specific doctor. Dr. Greg Aker and Dr. Amanda Aker are at Downtown, 338 S Washington Ave, on the second floor with an elevator. Dr. Koehnemann and Dr. Bradley are at Playalinda, 1114 S Washington Ave, all on one floor. Children usually see Dr. Bradley at Playalinda, and dry eye treatment is at Downtown. Call (321) 269-2021 and we will match you.

Call (321) 269-2021Book an Appointment