Thank you for scheduling an appointment at our office:
1115 Fifth Avenue, New York, NY 10128
Please print and fill out the forms below.
On the day of your appointment please bring them along with:
- Your Current Insurance Card
- A referral from your primary care physician (if required by your insurance company)
- Current glasses (if worn). Did you know that Fifth Avenue EyeCare and Surgery has a full service optical shop?
- Current contact lenses or prescription (if worn)
- Medication List or bring actual medications
We look forward to seeing you and again thank you for allowing us to participate in your eye care.