Normandy Optical

Full-scope Optometric Care

Patient Forms

New and returning patients can save time by completing paperwork prior to your visit. Select the link below to print and fill out the patient registration form and the retinal photos form and bring the completed forms to your visit.

If you wish, you can read our notice of privacy practices but there is no need to print that form.  If you have any questions regarding our privacy practices, we will be happy to discuss them with you at the time of your visit.

Patient Registration Form
Notice of Privacy Practices

Ron P.
Yardley, PA

Ron P.

A pain in one of my eyes woke me up in the middle of the night. It felt as if something was scratching my eye. I tried flushing my eye with cold water but that didn’t help and the pain kept me from falling back asleep. The next day I went to Dr. Mike’s office and explained what had happened. He made time to see me right away and determined that although my eyeball was ok, something was lodged underneath my eyelid. A few minutes later he was able to extract it and the pain was gone. I want to thank Dr. Mike for being there for me when I really needed someone.