Forms For Your Visit

Information Forms (for all Current and New Patients)

As of August 26, 2013, The Princeton Eye Group has transitioned to an Electronic Medical Records (EMR) system. All patients (both new and returning) will be asked to fill out new demographic and consent forms.  To alleviate some delays, all patients are asked to print out the new forms and fill them out BEFORE coming to their office visit.

Patients that fill out the forms in the office will be significantly delayed with their visit. We ask for your patience and help as we work to comply with the government’s Affordable Health Care Act.

Please download the forms here (3 pages). Then, print it out and fill out ALL the information requested in the forms prior to coming to the office. We need ALL information to properly process your paperwork. Any information that is not given may delay your visit. Please remember to bring all the forms with you to your visit. Thank you for your cooperation.

In order to read and fill out the forms, be sure you have Adobe Acrobat Reader installed on your computer.