New Patient Forms

Welcome to the Eye Group of Connecticut

We look forward to meeting you at your first appointment with us.

To speed up the check-in process we request that you complete the following forms (below) and return them to us before your visit:

Patient Medication Form
Patient Medical History Form

You may also bring them with you on the day of your appointment, but please arrive 15 minutes earlier to allow us to review your data at that time.

Additional IMPORTANT information:

  • If your insurance requires a referral from your Primary Care Physician, please make sure you have an active referral for your visit.
  • Please bring your current insurance card AND a PHOTO ID at the time of your appointment.

If you can not keep your appointment, please give our office the courtesy of a 24 hour notice.

Any questions? You can reach us at 203-374-8182