Online Forms

At Cosmopolitan Eyecare, 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 your have regarding your eye health or vision on the form.

Download & Print Form

Patient Forms

speed up your wait time by completing forms ahead of time...

You have scheduled your appointment at Cosmopolitan Eyecare and are ready to come in to the office. You can speed up your wait time by downloading and filling out patient forms before your appointment.

SECURE ONLINE PATIENT FORM


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Location

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Office Hours

Our Regular Schedule

Cosmopolitan Eyecare

Monday:

9:00 am-7:00 pm

Tuesday:

10:00 am-7:00 pm

Wednesday:

9:00 am-7:00 pm

Thursday:

10:00 am-6:00 pm

Friday:

9:00 am-7:00 pm

Saturday:

10:00 am-4:00 pm

Sunday:

11:00 am-4:00 pm

***Please keep in mind that the last appointment slot of the day for a Dilation exam is 4:00 PM during weekdays and 2:00 PM on the weekends due to Office Hour limitations. There is a 7 day grace period for Dilation exams from the date if appointments are scheduled after the cut-off time. Please contact us if any questions regarding exam details and times. We apologize for any inconvenience.***