Online Forms

At Broadway Eye Clinic, we value your time. In an effort to save you time in our office, you can download and complete our patient form prior to your appointment.


New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.

Download & Print form


Privacy Policy

Download & Print form


Myopia Risk Assessment – Important Information

This assessment is designed to help us understand your eye health and determine your risk for myopia (nearsightedness). Your insights are invaluable in tailoring a plan that best supports your vision needs.

Please take a moment to complete this assessment, as it will allow us to gather essential information about your current vision, lifestyle, and family history. We encourage you to share any questions or concerns you may have regarding myopia or your overall eye health.

Your participation is crucial in helping us provide you with the best care possible!

Fill up Online

Our Location

Hours of Operation

Monday

8:00 am - 6:00 pm

Tuesday

8:00 am - 6:30 pm

Wednesday

8:00 am - 6:00 pm

Thursday

8:00 am - 12:45 pm

1:45 pm - 6:30 pm

Friday

8:00 am - 6:00 pm

Saturday

By Appointment

Sunday

Closed

Monday
8:00 am - 6:00 pm
Tuesday
8:00 am - 6:30 pm
Wednesday
8:00 am - 6:00 pm
Thursday
8:00 am - 12:45 pm 1:45 pm - 6:30 pm
Friday
8:00 am - 6:00 pm
Saturday
By Appointment
Sunday
Closed

Subscribe to our newsletter for the latest updates and special offers.

* indicates required