Patient Forms

Online Forms

​We value your time! In an effort to save you time in our office, you can download and complete our patient form prior to your appointment.

  • You will need AdobeReader® to download and complete the form.
  • Download the required form. Print out the form and complete the required information.
  • Bring the completed form with you to your appointment and please arrive a few minutes earlier than your scheduled appointment time to allow our staff to process your information.

New Patient Form

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 you have regarding your eye health or vision on the form

Download & Complete Form – Established Patient Form

Download & Complete Form – New Patient Form

Download & Complete Questionnaire – COVID Consent

Download the Free AdobeReader®

Call Us

Location

RVC Optometric Associates
282 Sunrise Highway
Rockville Centre, NY 11570

Hours

Sunday: Closed
Monday: Closed
Tuesday: 9:30AM – 5:30PM
Wednesday: 9:30AM – 5:30PM
Thursday: 9:30AM – 7:30PM
Friday: 9:30AM – 5:30PM
Saturday: 9:00AM – 4:00PM