We’re Specialists in Surgical and Retinal Treatments for Connecticut, New York, and Beyond.

Patient Forms

Welcome to our practice! Please download, print, and complete the new patient paperwork below PRIOR to your visit with us.

Please bring this completed paperwork, including physician's phone number(s) and address(es), your insurance card(s), co-pay, and any referral your insurance company may require. We would also appreciate your bringing a copy of your current medications.

Download the new patient packet › Download en Español ›

 Download our Notice of Privacy Practices ›    Download en Español ›

 Download our Patient Records Release Form ›