Patient Information & Forms

Your first visit with our office is important as it provides us with a baseline for your eye health so we will spend some time getting to know you and your general health.  Once we establish routine visits, we can better diagnose and treat any vision concerns that may develop.  We suggest a yearly or bi-yearly eye and vision exams for optimal eye health maintenance as recommended by the American Optometric Association.

Our Philosophy

Your optical health is only one component of your general health and we strive to create a personalized treatment that is right for you.  We offer a wide range of services for the entire family and it is our goal to keep your eyes happy and healthy.

What to Expect at Your First Visit

During your visit, your optometrist will want to get to know you by asking some questions regarding your general health, medications, work environments, activities, and any vision issues.  Your optometrist will discuss any findings and recommendations based on your exam and cover any concerns you have.

Patient Forms

Below are the Medical History and Privacy Policy forms you will need to complete on your first visit. You can expedite matters by downloading these forms, completing them at home, and handing them to our staff when you arrive for your initial visit to our office.

Patient History Form


COVID-19 Consent Form

To view or print these forms, you will need Adobe Acrobat Reader installed. Click here to download it.


We are located at 202 Broadway, Amityville, NY 11701.

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Contact Our Optometry Team in Amityville, NY

Here at South Shore Optometric Associates, we offer a wide variety of eye care services that can effectively treat many eye conditions. We are here to help you and your family with all of your vision care needs in Amityville, New York, and the surrounding areas. Schedule an appointment with us today by calling 631-264-3937 or contact us.