Online Forms

At Sound Vision Care, Inc., we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

soundvisioncare-history-form-20140501

Patient History Form and HIPAA Consent - English

To be completed by all new patients and any patient that has not had an appointment in a year or this calendar year.

Patient History Form and HIPAA Consent - English ( click to view )

 


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COVID-19 Screening for Visitors

COVID-19 Screening for Visitors ( click to view )

 


soundvisioncare-cls-agreement

Contact Lens Agreement

For any patient wishing to have a Contact Lens Exam - To be completed each year.

Contact Lens Agreement ( click to view )

 


soundvisioncare-gvss-agreement-form

Gentle Vision Shaping System Agreement

For any patient in need of a Gentle Vision Shaping Exam - To be completed each year.

Gentle Vision Shaping System Agreement ( click to view )

 


soundvisioncare-amsler-home-test

Amsler Home Test

For any patient with a Macular Condition to monitor their central vision.

Amsler Home Test ( click to view )

 


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Notice of Privacy Practices

Notice of Privacy Practices ( click to view )


 


soundvisioncare-spanish-history-form-20140208

Patient History Form and HIPAA Consent - Spanish

To be completed by all new patients and any patient that has not had an appointment in a year or this calendar year.

Para ser completado por todos los nuevos pacientes y cualquier paciente que no ha tenido una cita en un año o año calendario.

Patient History Form and HIPAA Consent - Spanish ( click to view )


soundvisioncare-covid-19-screening-spanish


COVID-19 Screening for Visitors - Spanish Version

COVID-19 Screening for Visitors - Spanish Version ( click to view )


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Our Locations

Testimonials

  • "★★★★★
    The staff at Sound Vision Care makes you feel like you are the only patient they have for the day. That is the kind of time and care you get from the moment you enter the office…Also I must say my eye exam was great."
    Ruth, Riverhead
  • "★★★★★
    Professional and caring."
    Thomas, Brightwaters
  • "★★★★★
    I have had several eye exams done here for myself and for my boys. It has always been a positive experience. They are very patient with one of my sons who truly hates the whole process. And, they are also very helpful in picking out new frames."
    Sarah, Wading River
  • "★★★★★
    Dr. Wiener is the best! She was able to help me with a rare condition that no other doctor could help me with. She never gave up on me, was very thorough and gave me options. Definitely recommend Sound Vision Care!!"
    Nyleen, Smithtown