At Lerner Vision Care, LLC, 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 Free AdobeReader®
- Download the required form(s). Please, print out the form(s) and complete the required information.
- Fax your completed form(s) to our office at 301-913-9264, or scan and email to [email protected], 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.