My%20Image
My Image
My%20Image

Patient Forms

Click on the form you wish to view or print. By filling these forms out in advance it will expedite the check in process.

01.

Excellence

State of the art equipment and professional experts.

02.

03.

Compassion

Making you feel welcome and safe

24/7 Availability

For Eye Emergencies

Glaucoma Practice of New York

Lions Eye Institute

1220 New Scotland Rd.

Suite 303

Slingerlands, NY 12159

Phone: 518-533-6565

Fax: 518-533-6567

Email: info@gp-ny.com

Patient Privacy

Your Privacy Is Important to All of Us

Privacy and Your Health Information:

The law gives you rights over your health information. Most of us feel that our health and medical information is

private and should be protected, and we want to know who has this information.

View the additional HIPPA information here. (PDF)

© Copyright 2010 Glaucoma Practice New York™