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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 24-72 hours before your 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)

Call NYC 212-724-8855

Call Scarsdale 914-472-5932