State of the Art Eyewear and Eye Care
Serving the Hudson Valley since 1922

• Patient Forms & Policy
  • Returning patient
  • NEW Adult patient
  • NEW Child patient (10-16 yrs)
  • NEW Child patient (10 and Under)
  • Policy
• Order Your Contacts
• Home
• About Our Staff
• Services We Offer
• Vision & Perceptual Therapy
• PRK and LASIK
• Optomap Retinal Exam
• Links
• Contact Us

NEW Adult patient

New patients must fill out the following forms.

• Medical History 
• HIPPA Signature Page
• Patient Information

The following form should be sent by you to your former eye doctor, so they are able to transfer your eye health history to our office.

• New Patient Record Release
  

• Patient Forms & Policy
  • Returning patient
  • NEW Adult patient
  • NEW Child patient (10-16 yrs)
  • NEW Child patient (10 and Under)
  • Policy
• Order Your Contacts
• Home
• About Our Staff
• Services We Offer
• Vision & Perceptual Therapy
• PRK and LASIK
• Optomap Retinal Exam
• Links
• Contact Us

Phone: 845-561-0907
Fax: 845-565-1202
Email: todaylaser@yahoo.com