WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

Follow Us

At North Shore Eye Health and Wellness, we value your time. In an effort to save you time in our office, we are utilizing a secure, HIPAA compliant, online portal for patient registration, online interviews, and secure messaging between you and your doctor.  We encourage all of our patients to set up their Personal Health Record (PHR) portal!

Learn more about your PHR and access the portal by clicking here.

You can also download and complete our patient form(s) prior to your appointment, if desired.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Download & Print Form


Download the Free AdobeReader®