Cornell Eyecare Group

  • Patient Information

    All information will be confidential.
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  • Insurance Information

  • Visual Information

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  • Health Information

  • Lifestyle Factors

    Your answers will assist us in selecting the best eyewear for you!
  • Authorization - I certify that I have read, understand and answered the above information to the best of my knowledge. I consent for Cornell Eyecare to bill my insurance company.
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