PLAZA OPTICAL
  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Eye Care Articles
  • Locations
  • Contact Us

Patient Forms

plaza_optical_patient_history_questionnaire.pdf
File Size: 104 kb
File Type: pdf
Download File

dry_eye_history_and_intake_form.pdf
File Size: 71 kb
File Type: pdf
Download File

plaza_medical_insurance_intake.pdf
File Size: 52 kb
File Type: pdf
Download File

health_insurance_claim_form.pdf
File Size: 277 kb
File Type: pdf
Download File

access_optical.pdf__chart_notes_
File Size: 208 kb
File Type: access optical.pdf chart notes
Download File

medicare.pdf._short_hcfa
File Size: 243 kb
File Type: medicare.pdf. short hcfa
Download File

WE ACCEPT ALL MAJOR CREDIT CARDS
INCLUDING CARE CREDIT

PLAZA OPTICAL
3450 Long Beach Road
Oceanside, NY 11572
Phone​: 516-678-1616
​[email protected]

Office Hours
Mon      10:00 am - 6:00 pm
Tue       10:00 am - 6:00 pm
Wed     10:00 am - 6:00 pm
Thu       10:00 am - 6:00 pm
Fri         10:00 am - 6:00 pm
Sat        9:30 am - 5:00 pm
Sun       CLOSED
Notice of Privacy Practices
Website by Eyefinity
Website by Eyefinity
  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Eye Care Articles
  • Locations
  • Contact Us