New Patients

If you are coming to Starer-Rizzo-Ruffini Ophthalmic Associates for your first appointment, you will need to read and complete some forms beforehand. We have placed these forms here so you may print them at home and complete them before coming to our office. You will need the free Adobe Reader to access these forms.

New patients are always welcome and can now register online.

Before coming in for your first appointment, we need you to complete three forms, which are in our:

• New Patient Forms Package

If you need just one of the forms individually, each of them is available below:

• Patient HIPAA Consent Form
• Patient Medical History Record
• Patient Registration Form

In order to comply with the Privacy Regulations issued by the Department of Health and Human Services, in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), our privacy practices and patient rights are documented in our:

• Notice of Privacy Practices

In order to comply with the Privacy Regulations issued by the Department of Health and Human Services in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Should you have any questions regarding the forms, please call our office. Please bring these completed forms with you on the day of your examination.

It is our goal to try to minimize your office waiting time; however, we may use dilating drops, which can add an additional 20 to 30 minutes of time. Consider having an accompanying driver as these drops induce blurred vision.

Our office requires a 24-hour notice of cancellation. In order to avoid missed appointment fees, please be sure you contact our office when you cannot keep your appointment.