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New Patient Forms

Complete forms at home and bring them with you to your appointment.

You can either fill in with your computer and hit PRINT button, or just hit PRINT button and fill-in by hand.

 

All Patients Must Complete

Click Here to open a New Patient Form

Click Here for HIXNY NYS Consent Form

 

Plattsburgh Patients Complete

Click Here for Insurance Authorization Form

Click Here for Consent for Health Information Form

Click Here for Patient Information Form

 

Malone Patients Complete

Click Here for Insurance Authorization Form

Click Here for Consent for Health Information Form

Click Here for Patient Information Form

 

Saranac Lake Patients Complete

Click Here for Insurance Authorization Form

Click Here for Consent for Health Information Form

Click Here for Patient Information Form

Malone Office and Optical Shop | 75 Sixth Street | Malone, NY | 12953 | 518.483.0065
Saranac Lake Office and Optical Shop | 51 Woodruff St. | Saranac Lake, NY | 12983 | 518.891.8412
Eye Care for the Adirondacks | 450 Margaret St. | Plattsburgh, NY | 12901 | 518.566.2020 | 800.272.1003