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Patient Forms

At Mayer and Shah Optometry, we value your time. In an effort to save you time in our office, you can fill out the forms online OR download and complete our patient form(s) prior to your appointment.

To fill out forms online: Online Patient Forms

To download forms and fill out at your leisure:

  • You will need AdobeReaderĀ® 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 Forms

Online Patient Forms

Download & Print Form


Cuestionario De Historia Medica

Online Patient Forms

Download & Print Form


Scleral Lens Forms

Download & Print Form


Amsler Grid (Macular Monitoring)

Download & Print Form

Download the Free AdobeReaderĀ®