At 第一眼科眼鏡中心, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms.
  • 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 you have regarding your eye health or vision on the form.

Download & Print Form


Download the Free AdobeReader®


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您的視力檢查

我們的醫生和技術人員了解眼健康和舒適視力的重要性,將為您提供卓越的個性化服務。請致電 718-762-3838 或填寫下方表格預約。我們期待與您見面!

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We're happy to answer any questions you may have, feel free to call us at
718-762-3838