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At Dr. Howard A. Sherman, Optometrist, 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.

Please complete the following forms before your appointment. These forms let us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health and vision on the form.


New Patient

A. Health History Form Download & Print Form

B. New Patient Information Download & Print Form

C. New Patient Consent Form Download & Print Form

D. Quality of Life Vision Profile Download & Print Form

E. Release Medical Information to Dr. Sherman Download & Print Form

F. Notice Of Privacy Practices Download & Print Form

G. Children's Medical History Form Download & Print Form


Returning Patient 

A. Returning Patient Health History Form Download & Print Form

B. Returning Patient Insurance Information Download & Print Form

C. Returning Consent Form Download & Print Form

D. Quality of Life Vision Profile Download & Print Form


Download the Free AdobeReader®