Poughkeepsie

(845) 454-1025

Yorktown Heights

(845) 440-1175

Online Forms

At Seeta Eye, 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.
  • 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.

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

Patient Registration Form

Download & Print Form

Patient History Form

Download & Print Form

HIPPA

Download & Print Form

HIPPA Acknowledgement Form

Download & Print Form


Download the Free AdobeReader®

Contact Us

How Our Team Can Help


Our team of experts is here to diligently provide personalized compassionate eye care for our patients in Poughkeepsie, Yorktown, and Nearby Areas of the Hudson Valley.


Quality Services
Our staff is trained in the most up-to-date techniques and procedures to deliver high-quality care to our patients.
Stat-of-the-art Equipment We continually invest in the most advanced equipment to deliver the best results.

Friendly Staff
whether you are new to our practice or have been seeing us for years we pride ourselves on having a friendly and professional atmosphere that you can rely on for all of your eye health needs.
Individual Approach We take the time to assess your specific eye care needs to create a customized plan to meet your visual goals.

Locations

Click on the locations below for address

Hours of Operation

Monday - Friday

8:00 am - 5:00 pm

Saturday, Sunday

Closed

Monday - Friday
8:00 am - 5:00 pm
Saturday, Sunday
Closed