Using the links on this website, you can fill out our health intake and office authorization.
ESTABLISHED Patient health intake
Welcome back to Mineola Eyecare. Please ask if you need help. Upon request, we can provide you with a paper copy.
New Patient health intake
Welcome to Mineola Eyecare. This form replaces the traditional paper health intake forms. Please ask if you need help. Upon request, we can provide you with a paper copy.
AMD Risk Assessment
Age-Related Macular Degeneration (AMD) is the leading cause of blindness in adults. Its effects are permanent and irreversible, and only in some cases is it effectively treated. When detected early, AMD is best managed through life style changes, improved nutrition, and careful monitoring by your eye doctor.
VSP Patient History Questionnaire
The questionnaire is to be reviewed at each appointment.