Dr. Marilyn Lehrner..:|:..Optometrist

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PATIENT FORMS:

I'm sure that you'll want to get your eye examination started soon after you arrive. So, to help process your paperwork, we ask that you click on the appropriate image below, complete and print the form, then either fax it or bring it with you to your exam. This form will help us get acquainted with you so we can better assess your eye care and visual needs. The information you provide can also help us make recommendations about different eyewear options to fit your specific needs and lifestyle.

Adults	Children Under 12