Online Patient Forms
Online Forms
We value your time! In an effort to save you time in our office, you can download and complete our patient form prior to your appointment.
- You will need AdobeReader® to download and complete the form.
- Download the required form. Print out the form and complete the required information.
- Bring the completed form with you to your appointment and please arrive a few minutes earlier than your scheduled appointment time to allow our staff to process your information.
Patient Forms
Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form
- Access Secure Patient Portal Form
- Online Patients Forms
- Download & Complete Form – Patient Intake Document
- Download & Complete Questionnaire – COVID-19 Consent
- Download the Free AdobeReader®
Call Us
Contact Us
Address
1643 Route 112, Suite A
Medford, NY 11763
(across from McDonald’s)
Hours
Monday: Closed
Tuesday: 10:00AM - 8:00PM
Wednesday: 10:00AM - 5:00PM
Thursday: 10:00AM - 8:00PM
Friday: 10:00AM - 4:00PM
Saturday: 9:00AM - 4:00PM
Sunday: Closed