Consulting Ophthalmologists’ new patients are required to fill out a Patient Information form, Medical History and Medication List prior to delivery of services. For your convenience, please feel free to click on the link below to complete the necessary information on-line. The information will be sent directly to our office through a secure website.
New Patient Online Registration
Prior to your next appointment, please visit our new frame gallery to view and “try on” some of the frame brands available in our Consulting Optical Shops!
Click here to view our frames!
PLEASE NOTE:
Please be assured that all information provided to us electronically via the online registration link is secure and protected and meets all HIPAA regulations.
Authorization to Share Information
Acknowledgement of Receipt of Notice of Privacy Practices
To send records from Consulting Opthalmologists.
Authorization For Release of Medical Records
To send records to Consulting Opthalmologists PC.
Medical Records Request:
You may print out the “Authorization for Release of Medical Records” form above and either mail, fax or email it to our Medical Records Department.
499 Farmington Avenue, Suite 100
Farmington, CT 06032
Office Telephone: 860-678-0202
704 Hebron Avenue, Suite 200
Glastonbury, CT 06033
Office Telephone: 860-678-0202