Patient Forms

Patient Registration Form

Thank you for choosing Cornea Consultants of Albany for your eye care. We look forward to seeing you at your upcoming appointment. Please take a moment to complete and print the Patient Registration and Medical History Forms included in the Patient Registration Packet even if you are an established patient. On the day of your appointment, please bring the completed forms with you. Please note we are not accepting completed forms via email at this time.

Also remember to obtain a referral from your primary care provider if required by your insurance plan prior to your appointment and bring your medical insurance card(s) with you to your appointment.

We highly recommend that you read our Office Policies included in the Registration Packet and contact us with any questions prior to your arrival.

Medical Records Release

Please fill out the form below to facilitate the release of your medical records. The form is pre-populated to allow the transfer of your records from another facility to Cornea Consultants of Albany. If you would like your medical records to be transferred from Cornea Consultants of Albany to another facility please copy the Cornea Consultants of Albany information in the TO field and paste it into the FROM field. Then simply enter the information of the facility that you want your records transferred to in the TO field.

After filling out the form please print and sign it, then mail it to:

Software Requirements

Adobe ReaderVersion 7.0 or later is required for viewing and printing the Portable Document Format (PDF) documents. To download the latest version of Adobe Reader, please click on the following link.