Westhampton Beach Family Eye Care and Optical
Patient Forms
We never rush our exams, but we know your time is important. Fill out this initial diagnostic information before your appointment, so that we can get you in with the doctor sooner. Print out this form and bring it with you, or email it to dreyesbm@aol.com before you leave the house. Whatever is easiest for you works for us.
If you are planning to use insurance to cover your exam, please fill out this form as well. You can email it to the office before your appointment or bring it in with you.
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