Eye Contact Vision Center

New York Styles at New Jersey Prices

Patient Information Forms

As we welcome our new independent optometrist Dr. Terrylee Maimone, we'd like to ask all our patients (new and established) to fill out these forms. Feel free to fill it out the best you can, and bring it with you the day of the appointment. Our staff will be more than happy to help you with any questions you might have regarding these forms as well as to help you fill them out if needed. 


Please know that these forms are available to you at our office. We have uploaded them to our website in order to make it easier and faster for you to fill them out before the day of the appointment. 


Please make sure you bring all insurance cards (health and/or vision) the day of your appointment, as well as a picture id.


If you have any questions or concerns you can contact us here and we will be more than happy to assist you.