LANDES EYE ASSOCIATES IN FAIRLAWN, OHIO
Patient Forms
Prior to your appointment, please download and complete the new patient forms below. Please bring printed copies of each completed form to your appointment and a list of your current medications. If you have any questions or concerns regarding which forms to complete or the content contained within a form, please contact our front desk by calling (330) 864-3937 and we will be happy to assist you.
If you cannot bring completed forms to your appointment, please plan on arriving 15-20 minutes prior to your appointment time to complete the documents at our office.
Click on the name of the form below to initiate the download.
New Patient Forms:
Notice of Privacy Practices – Page 1
Notice of Privacy Practices – Page 2
Specific Service Related Forms (not required for all patients):
Cataract Pre-op Questionnaire 1
Cataract Pre-op Questionnaire 2
