Forms

Thank you for choosing Dr. Joseph Militello and The Eye Center for your eye care needs! We look forward to partnering in your health care.

On your first visit with Dr. Militello, you will be asked to complete our New Patient Information Sheet, Past Medical History Form, and Information and Dilating Eye Drops/Non-Covered Services. Completing these forms beforehand will expedite your first visit to our office.

If you have access to a printer, we are providing these forms for you so can fill them out in advance and bring them with you to your first visit.

You will also receive a copy of our Notice of Privacy Practices, which details the use of your private health information in our office. You can also print out a copy of this form before you arrive at the office.

What to bring on your first visit:
1. If able, Completed New Patient Information Sheet, Past Medical History Form, Information about
    Dilating Eye Drops/Non-Covered Services Form.
2. Your driver's license. (a copy will me made)
3. Your current medical insurance card(s). (copies will be made)
4. Knowledge of your eye and medical history.
5. List of all of your current medications. (Eye and any other medications you take.)
6. The date of your last eye exam.
7. Your current glasses or contacts.
8. A pair of sunglasses for your trip home. Your eyes will be dilated and light sensitive for a few hours
    after the visit.