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Serving eye care patients in Hartford, Enfield, Newington, & Vernon

Please click the links below to download the form to your computer. Note that you will need to have the correct software program on your computer to see the files.

New patients:
Click here to download our Medical History Questionaire
(PDF)

Click here to download Patient Face Sheet (PDF)

Contact lens and eyeglasses customers:
Click here to download our Lenses and Frame Type Questionnaire
(PDF)

*Forms require Adobe Acrobat Reader. Please download here.