CONTACT US | REFERRAL FORMS | PATIENT FORMS Navigation –––– Pre-Visit Forms –––– Please print and complete these forms prior to your first visit. In order to protect your privacy, do not fax or e-mail these pages; please bring them with you to the office. Download the Adult Visit form Download the Child Visit form Download the Record Release form Download the Contact Lens Informed Consent form Download the HIPAA Information Sharing Policy form Download the Optomap form All rights reserved. Copyright ©2021 SIGHT Eye Health SIGHT Eye Health | Eye Wear 17 South Main Street West Hartford, CT 06107 info@sight.net optical@sight.net Phone: 860.231.8482, ext. 1 Fax: 860-231-8791 Office Hours Tuesday 8am – 5pm Wednesday 8am–5pm Thursday 10am–7pm Friday 9am–5pm Saturday 9am–5pm SIGHT Multispecialty Center 10 Birdseye Road, Ste. 120 Farmington, CT 06032 sensory@sight.net Phone: 860.231.8482, ext. 2 Fax: 860-231-8791 Office Hours Monday 9am – 7pm Tuesday 9am – 7pm Wednesday 7:30am – 6pm Thursday 9am – 7pm We participate in many vision and medical insurance plans.

CONTACT US | REFERRAL FORMS | PATIENT FORMS Navigation –––– Farmington Multispecialty Center –––– Vision and Sensory Care for Children and Adults Pediatric Eye Care (Annual Exams, Medical and Emergency Eye Care) Adult and Pediatric Rehabilitation (Evaluation and Therapies) Our spacious, accessible Farmington Multispecialty Center is a unique, state of the art space where our comprehensive team of optometrists, vision therapists, occupational therapists, and physical therapists work together under one roof. We understand the complex interrelationships of systems within the human body and take a whole-body, comprehensive approach to patient care. We work with outside specialists as needed to ensure that patients receive thorough, collaborative treatment. The Multispecialty Center houses our pediatric practice where we assess children’s eye health and their ability to process visual input. It’s also where we perform assessments that evaluate visual and sensory challenges in children and adults. Finally, this center is home to our pediatric and adult rehabilitation treatments designed to improve, restore and optimize visual and sensory function. All rights reserved. Copyright ©2021 SIGHT Eye Health SIGHT Eye Health | Eye Wear 17 South Main Street West Hartford, CT 06107 info@sight.net optical@sight.net Phone: 860.231.8482, ext. 1 Fax: 860-231-8791 Office Hours Tuesday 8am – 5pm Wednesday 8am–5pm Thursday 10am–7pm Friday 9am–5pm Saturday 9am–5pm SIGHT Multispecialty Center 10 Birdseye Road, Ste. 120 Farmington, CT 06032 sensory@sight.net Phone: 860.231.8482, ext. 2 Fax: 860-231-8791 Office Hours Monday 9am – 7pm Tuesday 9am – 7pm Wednesday 7:30am – 6pm Thursday 9am – 7pm We participate in many vision and medical insurance plans.