It is always our goal at Somers Eye Center to give you the eye care you deserve in a timely manner.

In order to ensure that your first visit goes smoothly, you may want to complete the forms below prior to your visit. You can even fax us your forms or drop them off prior to your appointment to speed up your first visit.

New Patient Form – Required

Download & Print Form | Fill Out Online

Patient Under 18 Information Form

Download & Print Form | Fill Out Online

Notice of Privacy

Download & Print Form | Fill Out Online

You will need Adobe Reader® installed on your computer. If you don’t have it, click here to download it. Click Here to download.