Patient Forms

At Western Mass Eye Care & Eyewear Gallery, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring a printed copy to your visit.
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• If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

• Download the necessary form(s), print it out and fill in the required information.

• Fax or email us your completed form(s) or bring it with you to your appointment.