Patient Education

If you wish to schedule an eye examination with Dr. Aggarwal, please fill out our online request form on the link below and a member of our staff will contact you shortly.

Click Here For Online Form

Below are new patient forms you'll need to complete on your first visit. You can expedite matters by downloading these forms, completing them at home and handing them to our staff when you arrive for your initial visit to our office.

Welcome Letter
New Patient Info
Patient Health History
HIPAA Privacy Form
HIPAA Notice Form
Referral Form
Medical Records Release Coming From MMR
Medical Records Release Going To MMR

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

We accept Visa, Mastercard, American Express and Discover credit cards as well as personal checks. You may call us to pay your bill over the phone . We also offer no interest or low interest financing through CareCredit. We accept most major insurance plans. To find out if we accept your plan, please call our office.