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At Custom Eyes of Albany, 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.

Patient Information

Download & Print Form


Medical History Questionnaire

Download & Print Form


Purpose Of Visit Form

Download & Print Form


Download the Free AdobeReader®

THIS ---->https://customeyesofalbany.imatrixbase.com/new-patient-center/online-forms.html

Office Hours

DayOpenClosed
Monday9:30am5:30pm
Tuesday9:30am5:30pm
Wednesday9:30am5:30pm
Thursday9:30am5:30pm
Friday9:30am5:30pm
Saturday9:00am12:00pm*
SundayClosedClosed
Day Open Closed
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:30am 9:30am 9:30am 9:30am 9:30am 9:00am Closed
5:30pm 5:30pm 5:30pm 5:30pm 5:30pm 12:00pm* Closed

*open every other Saturday. Please call for availability.

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