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Online Forms

At the Center for Eye Care and Optical, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReaderĀ® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Registration

Download & Print Form

Existing Patient Update Form

Download & Print Form


Financial Agreement

Download & Print Form


Refraction Fee

Download & Print Form


Privacy Policy

Download & Print Form


Medical Record Release

Download & Print Form


HIPPA Guidelines

The notice of privacy describes how medical information about you may be used, disclosed, and how you can get access to this information. Please review it carefully. If you have any questions about this notice, please contact our Privacy Officer.

Download & Print Form




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Schedule an Appointment

Use the form below to email us. We will call you shortly to schedule your appointment.

Office Hours

Monday:

9:00 AM-7:00 PM

Tuesday:

8:00 am-7:00 PM

Wednesday:

9:00 AM-7:00 PM

Thursday:

9:00 AM-7:00 PM

Friday:

8:00 AM-5:00 PM

Saturday:

8:00 AM-3:00 PM

Sunday:

Closed

Location

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  • "I highly recommend the Center for Eye Care and Optical. The staff is very friendly, helpful and exceptionally caring."
    Maggie L.
  • "The Optical staff were extremely helpful and supportive in the process of helping me choose new frames."
    Patricia - North Babylon, NY
  • "Very pleased with the Doctors and Staff. The Optical Department was so attentive and helpful. Recommend to everyone I know!"
    Dan S.
  • "The doctors here are amazing - I've seen all of them with my entire family and they are all great for all ages. Easy to schedule appointments and short wait times."
    Kris S.
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