Cohn Eye Center  



Patient Forms

For your convenience, we've made it possible for you to download our new patient forms. This will allow you to print and complete the forms in the comfort of your own home.


These forms require Adobe Acrobat Reader to open, view and print them.



We ask that you bring your insurance card(s) to your appointment so that we may make a copy for our records. If you wear eye glasses (including reading glasses) or contact lenses, please bring them. For contact lens wearers, please bring the box that your contact lenses came in. If you are currently taking any eye drops, please bring them as well.  Also bring a list of current medications.



Often your pupils must be dilated during an eye exam. Dilation is necessary for a thorough evaluation of your eyes. Dilation may cause your vision to become blurry and lights will appear brighter than usual. We suggest you bring sunglasses to your appointment. If you are concerned about driving while dilated, please bring someone with you to drive you home.



If you wish to have your glasses prescription checked or determined, this part of the examination is called a refraction. Most often it is best performed prior to any other part of the examination, as intraocular pressure testing and dilation can alter the results and lead to an erroneous glasses prescription. For this reason, make sure to let the doctor or technician know at the beginning of your examination whether you would like a refraction. This service is usually not covered by your insurance and is an additional charge.


If you have any additional questions, please call us at 407-647-7227.  We look forward to your visit.  

New Patient Forms