Eye Values Optical
Give us a call:
631-957-0033
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Online Patient Forms

Save time during your appointment by completing our patient forms online. 
Below, you'll see the login page. (If this is your first visit, we'll take a few seconds to help you create a login to our site).

Secure Patient Forms

Paper Forms

Though we encourage you to use our convenient online patient form above, you are welcome to download, print, and complete the below forms prior to your appointment. We look forward to seeing you!
WELCOME FORM
File Size: 6 kb
File Type: pdf
Download File

MEDICAL HISTORY FORM
File Size: 52 kb
File Type: pdf
Download File

Phone: 631-957-0033
Fax: 631-957-2315
e-mail us
600 North Wellwood ave., Suite C
Lindenhurst, New York 11757

Office Hours:
Mon - Thu: 10:00am to 7:30pm
Friday: 10:00am to 6:00pm
Saturday: 9:00 am to 5:00 pm


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