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Online Forms

Welcome to Eye Q Optometrist, and we thank you for choosing us as your eye care provider!

In an effort to make your visit at our office efficient and convenient, please follow the directions below.

We ask that all new and established patients please complete both online forms below. Both step one and step two should be submitted 72-24 hours before you appointment when possible.

NYC Location

Step One

New Patient Registration & Medical History Form (NYC)
Established Patient Update Form (NYC)

Step Two

Details Before Your Visit Form (NYC)

Scarsdale Location

Step One

New Patient Registration & Medical History Form (Scarsdale)
Established Patient Update Form (Scarsdale)

Step Two

Details Before Your Visit Form (Scarsdale)

To keep us all safe, this is what we ask of you,

On the day of your visit:


The two short forms below need to be completed and submitted. ALL patients must complete both COVID-19 health forms prior to their appointment. If you have two or more children being examined or treated, forms must be completed for each child separately. Thank You!

Choose the location of the office you are scheduled in – (NYC or Scarsdale)