New Patient Forms

Please click on the link below to register as a new patient in our office. This form will be completed online and will be transferred to our office electronically. Please complete this form at least three days prior to your appointment so that when you arrive at our office, you will already be registered in our system. (If you submit this form less than three days before your appointment, the information you provide may not be entered into our computer system in time for your appointment).

Forms_Clip_Art-_Resize_100New Patient Registration Form

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location address
5940 Hamilton Boulevard
Allentown, PA 18106
Phone: (610) 481-9200
Fax: (610) 481-0289
Click for easy directions to our office.


Monday 8:30-5:00
Tuesday 8:30-5:00
Wednesday 8:30-6:00
Thursday Closed
Friday 8:30-5:00
Saturday 8:00-1:00
Sunday Closed
Eye Motion

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