Please click on the links below. PDF files will download for you to print and fill out completely. Please bring them with you when you come to our office. If you’re a returning patient please bring the HIPPA Policy Statement and your updated Medical History to our office.
New Patient Online Form – Submit Online
Simon Eye Associates Privacy Practices – Download & Print
Simon Eye Associates Privacy Practices Acknowledgement – Download & Print
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Good News! We are happy to announce that our offices are now open beyond just emergency visits, to serve your eye care needs!! In order to ensure the health and safety of our staff and patients, we want to be sure you know that we have made the following changes for the re-opening phases:
In the case that you are unable to personally visit one of our offices, we have a “virtual office” set up for you to have a telehealth visit with one of our doctors, order contacts or glasses on line and have them shipped directly to you.
We look forward to seeing you again soon!!