New Patient Forms

To download forms, please click on the links to the right.

Print the forms, fill them out, and bring them to the office on the day of your appointment.

To visit our website for directions, or to find out more about LASIK surgery, or to learn more about crystalens cataract surgery to reduce the need for readers, please click on the 2020vision.com link to the right.

Phone:
Locally: 586 323-2020
Toll Free: 888 347-2020

Forms:

Personal/insurance Information

Health History

You will need a PDF Reader to download and print these forms. Click on a link below:

Fastest downloads with Foxit Reader

Link to Dr. Goldstein's website:

2020vision.com

If you have any problems downloading the forms, please call the office at 586-899-9393