Patient Forms

Notice of Privacy PracticesCortlandt Eye Care is pleased to welcome you as a new patient to our practice! For your convenience, our patient forms are available online for you to download.

For your first visit, please print and complete the Patient Health History Form (below), and bring it with you to your appointment.

For your convenience, you can type your information directly into the health history form and then print. To protect your personal information, please do not save, email or fax your completed Patient Health History Form. Instead, please print and bring it with you to your appointment with Dr. Lonky or Dr. Gorman.

icon of pdf Health History Form

pdf icon Notice of Privacy Practices