Eye surgery on Long Island

Patient Forms

In order to make your surgical experience at Island Eye Surgicenter as easy as possible, we have made all of our patient forms available online so that you may fill them out at your convenience. When you arrive at Island Eye on the day of your surgery, please be sure to bring the completed forms and give them to your patient coordinator.

If you should have any questions, we will be happy to answer them at the time of your appointment.

Review the HIPAA Privacy Statement here.

Click on the links below to download our patient forms.


Island Eye Surgicenter
1500 Jericho Turnpike
Westbury, NY 11590

Tel: (516) 877-2400
Fax: (516) 877-1879

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The Island Eye Surgicenter website does not provide medical advice, diagnosis or treatment. Responses to any questions you submit to the Island Eye Surgicenter website are not to be considered medical advice and do not take the place of a visit to a physician. The contents of the Island Eye Surgicenter website, such as text, graphics, images, and other material contained on the Island Eye Surgicenter website ("Content") are for informational purposes only. Reliance on any Content provided by the Island Eye Surgicenter website is solely at your own risk. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

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