Patient Center


 

Click on the patient information & medical history link below, fill out the forms, and bring them with you to your first visit at our office. All of the forms are in Portable Document Format (PDF).

PATIENT OCULAR AND MEDICAL HISTORY FORM -English

PATIENT OCULAR AND MEDICAL HISTORY FORM - Spanish

 

Location

Cliffside Laser Eye and Cataract Center
663 Palisade Ave., Suite 303
Cliffside Park, NJ 07010
Phone: 201-941-9400
Fax: 201-941-5840

Office Hours

Get in touch

201-941-9400