- 298 Colonial Drive | Horseheads, NY 14845
- 607-796-6284
- 607-796-6617
- Mon/Wed/Fri 8a-5p | Tue/Thu 9a-6p | Sat, Sun Closed
- 143 Village Square Suite 101 | Painted Post, NY 14870
- 607-796-6284
- 607-654-4250
- Mon/Wed/Fri 8a-5p | Tue 1p-6p | Thu 9a-6p | Sat, Sun Closed
Forms
VIEW PATIENT FORMS BELOW
Don’t let eye health concerns hold you back. Download and complete our PDF forms to get started on your journey to better vision.
Patient History Form
For your convenience, please print this form, complete it and bring it with you to your appointment
Consent to Treat Minor form
Please complete this form if someone other than parent/guardian is bringing child under 18 to exam, or if 16 or 17 year old is coming alone