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

HIPAA Compliance – Fill Out Online
Patient Financial Policy – Fill Out Online
Consent Form – Fill Out Online
Records Release Sign Sheet Download & Print Form

Notice of Privacy Practices
Notice of Privacy Practices (Spanish)

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