1133 Westchester Avenue
Bldg A, Ste N008
White Plains, NY 10604
Eye Care Services in White Plains

New Patients

Overview

Your first visit to our office establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your optometrist.

Our Mission

Our friendly staff is dedicated to caring for you and your entire family's optical health and well-being. We take the time to create a personalized treatment for each patient and we offer a wide range of services, from eye exams for adults and children, medical eyecare to contact lens exams and fittings. It is our goal to make your visit with us an extremely pleasant one and to send you home with great vision.

Patient Forms

At Family Vision Care Associates, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Medical History for Adults / Students

*ALL NEW PATIENTS, please print and complete one of the two Medical History Forms listed below and bring it with you to your appointment.

Notice of Patient Privacy​​​​​​​

Other Forms ​​​​​​​

If you wish to give authorization to someone so that we may discuss your health record and billing pertaining to our office with them, please:

If you wish to give us authorization to release your medical record to another doctor or entity, please:

If you wish to give us authorization to exam/treat your minor child without a parent being present, please:

InfantSEE Program

If you wish to take advantage of a comprehensive vision exam for your infant (The InfantSEE Program), please use the forms (English or Spanish) listed below:

What to Expect at Your First Visit

On your first visit, your optometrist will review your medical and optical histories and evaluate your health. We will explain to you whether or not you will require any treatment. Our team will be happy to answer any questions you might have.