Diabetic Retinopathy & Macular Degeneration

Macular Degeneration? | Diabetes? | Surgery | Practice Information | New Patient Information

Lehigh Eye Specialists   New Patient Information

New Patient Information

Please arrive 15 minutes prior to your appointment time to complete paperwork. Bring your insurance card(s), referral, if needed, and medication list with you to expedite your registration. If you are unable to keep your appointment, please notify our office at least 24 hours prior to your appointment time.

Please download, print out and complete the forms. Please bring the completed forms and a photo ID to your first appointment:
PDF IconNew Patient Forms
PDF IconPractice Brochure
Maz Kazahaya, MD, FACS
David A. DeRose, MD
Lehigh Eye Specialists
1251 South Cedar Crest Blvd.
Suite 307
Allentown, PA 18103
(610) 820-6320
fax:(610) 820-8376

NOTICE OF PRIVACY PRACTICES