As a new patient at Manchester Ophthalmology you will be required to fill out the following forms at your first appointment:
- Patient Information
- Records Release Form *if patient would like their records from a previous doctor forwarded to us, please print and fill out this form
- HIPAA Privacy
- Notice of Privacy
- Medical History
- Assignment of Benefits
For your convenience, please feel free to click on the links above to print out the forms and complete ahead of time. You may also fax them to our office at (860) 643-4901 or email to manchesterophthalmology732@yahoo.com. Otherwise, please arrive 15 minutes early to your appointment to fill them out. We would also appreciate if you would bring your insurance cards, a form of photo identification and your copay to the appointment.
