Are you a new patient at Spinak Medical Eye Center?
Paperwork. We hate it too but it’s necessary for us to provide you with the best care we can.
Save time and frustration by filling out the required paperwork prior to your visit at Spinak Medical Eye Center. Please bring them into the office with you.
Click here to see and print the patient forms.
(There are multiple files in this document so please be patient as it downloads.)
For Cataract Patients
Please complete this form if you are coming to see our doctors for a cataract condition. The information you provide will help us improve our knowledge about your visual needs.
To help you fill out the paperwork, you’ll need your:
- Primary insurance information
- Secondary insurance information
- Contact information for you and the primary insured (if not you)
- Your medical history
- Names and contact information of people who can have access to your medical information.
Get your forms here
You will need Adobe Reader to access the forms.
Don’t have it? Click here to download it for free.