Patient Forms

Before coming to your appointment, please review and fill out any eye care forms that may assist you or your doctor regarding your visit. Filling out this information in advance will be very helpful and will make your check-in experience quick and efficient.

Download Acrobat Reader to access the forms below.

 

Before coming to your first appointment with us here at Albany Eye Associates we ask that you please review and fill out the necessary forms.  Filling out this information in advance will be very helpful in making your check-in experience quick and efficient.  In addition, your medical history can directly impact your doctor’s decision making so please be sure to fill out all forms in their entirety.  Please be sure to PRINT these forms and bring them with you to your appointment.

You will need New Patient Forms please fill them and bring them to your first appointment at Albany Eye Associates.

Notice of Privacy Practices - HIPAA As your health care provider, we provide the Notice of Privacy Practices which tells how we may use and share your health information. It also includes your Health Privacy Rights. You can also ask for a copy of this document at any time.

Additional Forms

- Medical History Form 

- Financial Agreement

- Medical Records Release form

- Permission of Legal Guardian, It is our office policy that anyone under the age of 18 be accompanied by their parent or legal guardian for the entirety of their visit.  Please fill out this form and send it with your child if they are going to be accompanied by someone other than their parent or legal guardian.

For directions on how to find Albany Eye Associates, Download: Directions to Albany Eye Associates