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Patient Information
Patient Forms
The following forms can be filled out online and submitted to our office.
*Best viewed in Internet Explorer 7 or higher.
To save time during your appointment, you can fill out these forms at home and then bring them with you.
*For more information or to access your records, please go to the following link: www.myeyecarerecords.com.
Please note: These documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.
Easy Financing
The Ophthalmic Center is pleased to offer a wide variety of payment options through CareCredit - click on the logo below to find out more.
Additional Information
For additional information please visit these sites:
- http://www.nei.nih.gov/health/cataract/
- http://www.nei.nih.gov/glaucoma/
- http://www.nei.nih.gov/health/maculardegen/armd_facts.asp
- http://www.nei.nih.gov/health/diabetic/
- http://www.nei.nih.gov/health/floaters/index.asp
- http://www.nei.nih.gov/health/retinaldetach/index.asp
- http://www.nei.nih.gov/health/cornealdisease
- http://www.nei.nih.gov/health/dryeye/dryeye.asp
Patient Comments
Thank you for all your help and concern before and after my cataract surgery. It was a great comfort every time I came to the office to see people who cared and had a smile for me.
- Deacon and Millie
Dr. Basilice-I have been so blessed to have you as my eye doctor. From the very first day we met, I was blown away with your kindness, professionalism and compassion. You and your staff are simply wonderful.
- Gary
No one wants to see a doctor, have surgery and follow up visits if they can avoid it. Under the circumstances, from the first appointment through to the final session your entire staff was polite, professional, knowledgeable and made me feel like a person, not a number. Thank you and BRAVO to you all!
- Judith
Dr. Basilice-Thank you for inviting us to be part of your Surgical Showcase on Thursday evening. We were both honored and privileged to share in this event and to view the live laser vision correction surgery that you performed. It was interesting, informative and exciting to see!
As always, your staff for the evening was very welcoming, pleasant and professional. We are very fortunate to be your patients at The Ophthalmic Center and to know that we are in the excellent hands of, foremost, yourself and your very skilled and knowledgeable staff of doctors and assistants.
- John and Maryann
Thank you so much for all your help. I CAN SEE!!! What a wonderful miracle.
- Sonia
Dr. Basilice- As I look out my window and see the docks, boats and birds so clearly, it reminds me of my good fortune to have had you do my eye surgery. Things are going great and each day I enjoy my new vision more.
- Dan
Dr. Basilice- I just wanted to say thanks for my new eyes!! I have been wearing glasses since I was 5 years old and have always dreamed of the day I could wake up and see… Thank you so much for everything you've done for me. I can honestly say I will never forget you for the rest of my life.
- Michelle
Dr. Basilice-You have given me the most incredible gift anyone can give, my eyesight. I am seeing the future and beginning my new life with new eyes. To walk down the aisle without contact lenses and to go on my honeymoon without a care in the world is unbelievable. Thank you again for everything.
- Christina
For Your Convenience, we have extended our Office Hours:
| Monday | 9am - 8pm |
| Tuesday | 9am - 8pm |
| Wednesday | 9am - 5pm |
| Thursday | 9am - 6pm |
| Friday | 8am - 5pm |
| Saturday | 9am - 2pm |
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