New Patient Registration Forms

Prior to your initial visit, please download and pre-fill these forms to expedite your visit.
These may be faxed to 212-696-1190 or brought with you.

• Patient Demographics
• Patient Medical History
• Authorization and Consent / HIPAA
• Refraction Policy / Fees

Or skip the PDF forms above and Check-In digitally here with Yosi:

Additional Cataract Evaluation Forms

• Visual Freedom Brochure: Your Refractive IOL options
• Preparing For Your Initial Visit
• Cataract Questionnaire
• Visual Function Questionnaire

Additional Dry Eye Evaluation Form

• Dry Eye Questionnaire

Privacy

• Notice of Privacy Practices