Dr. Nizewitz & Dr. Lake's Office
  • Home
  • Our Practice
    • Sun Boutique
  • Our Services
    • Sports Injury
    • Promotions
    • Optos Panoramic200
    • Cooper
  • Welcome to the Office Form- All Patients
  • Eye Care Articles
  • Location

patient  forms

Welcome  to  the  Office  Form - Available  for  ALL  Patients  to  complete!

Welcome to the Office Form available to be downloaded and completed/updated prior to ALL NEW and ALL RETURNING patients arrival for exam!

**ALL NEW and ALL RETURNING patients should bring an current updated list of prescribed medications, including dosages, to be included in your records!
Welcome_to_the_office_form.pdf
File Size: 435 kb
File Type: pdf
Download File

Contact Us
200 Midway Park Drive
Middletown, NY 10940
Phone: 845-343-6919

Fax: 845-343-4545
Email: ​Nizewitzandlake@rocketmail.com
Office Hours
Mon 9:00 am - 7:00 pm
Tue, Wed, Thu 9:00 am - 5:00 pm
Fri: 8:00 am - 4:00 pm
Sat: Call for for hours and availability.
See our Location page for more details.
Picture
Notice of Privacy Practices
Website by Eyefinity
  • Home
  • Our Practice
    • Sun Boutique
  • Our Services
    • Sports Injury
    • Promotions
    • Optos Panoramic200
    • Cooper
  • Welcome to the Office Form- All Patients
  • Eye Care Articles
  • Location