Precision Eye Care

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      • Richard G. Davis, MD, FAAO
      • Adam H. Bloom, MD, FAAO
      • Barbara L. Reiss, OD, FAAO
      • Dr. Katelyn Stoehr Au.D., CCC-A
    • Support Staff
      • Ann Nieves, Patient Care Coordinator
      • Vicky Benymon, Chief Technician
      • Kevin Condon, Administrator
  • Eye Services & Procedures
    • Cataracts
      • Cataract Surgery Options
      • Intraocular Lens (IOL)
      • Vision Without Glasses
      • Laser Refractive Cataract Surgery
    • Glaucoma
      • Selective Laser Trabeculoplasty (SLT)
      • Treatment
    • Toyos Optimum Dry Eye Treatment
    • Restasis
    • Vision Correction Surgery
      • LASIK
      • Refractive Lens Exchange
    • Diabetic Eye Care
    • Eye Exams
      • Routine Eye Exams
      • Contact Lenses Fitting
  • Precision Eye Wear
    • Optical Services
    • Frame Fashions
    • Lens Technology
    • Staff
  • Hearing Services
    • Hearing Loss
    • Self Evaluation
    • Hearing Loss in Children
    • Diagnostic Evaluation
      • Why should I have my hearing evaluated by an audiologist?
      • Isn’t diagnostic evaluation just a fancy term for hearing test?
    • Hearing Aids & Assistive Devices
      • Being Fit With a Hearing Aid
      • How Hearing Aids Work
      • Technological Advances: Digital Hearing Aids
      • Types of Hearing Aids
      • One Aid or Two
      • Getting Acquainted With Your New Hearing Aid
      • Assistive Listening Devices
    • Ear Plugs
    • Contact Hearing Center
  • Patient Education
    • 3D Educational Eye Videos
    • Basic Facts
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  • Patient Forms
  • Contact Us
You are here: Home / Patient Forms

Patient Forms


Download / Print our forms below:

  • Patient Registration Form
  • Refraction Acknowledgement
  • HIPPA Patient Consent Form
  • Signature on File, Assisgnment of Benefits, Financial Agreement

Click to take our Patient Survey

Cataracts

Premium IOLs

Intraocular Lens (IOL)

IOL technology allows our surgeons to replace the natural lens in the eye with an artificial lens which can give both distance and near vision without glasses. Although used … [Read More...]

A New Treatment for Dry Eye

Toyos Dry Eye Treatment

Precision Eye Care is the first practice in the Greater New York area to offer the Toyos Optimum Dry Eye … [Read More...]

Audiology

Hearing Evaluation

Hearing Services

Precision Audiology offers professional hearing services that include hearing testing, custom fitting of hearing aids, as well as hearing aid repair. This is in … [Read More...]

Medical Director

Davis_

Richard G. Davis, MD, FAAO

Dr. Davis is a Board Certified Fellow of the American Academy of Ophthalmology and has been practicing Ophthalmology on Long Island since 1991. He earned a B.A. from … [Read More...]

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