Downloadable Forms

Thank you for choosing Dr. Amit R. Chokshi, Dr. Gerard Coluccelli and Dr. Laura Storm as your eye-care specialists. Every member of our team is committed to providing you with the best possible care.

We would like to tell you a little about your appointment. Your visits will range from 2-3 hours, depending on the specialized tests or procedures required.

  • When you arrive you will be asked to complete some paperwork
  • One of our technicians will escort you to an exam room where both of your eyes will be examined by the technician, this exam may include:
  • Recording of your general medical history, many illnesses can have an impact on your eyesight and eye health
    • Recording of the history of your eye problems and symptoms
    • A test of your eyesight with the standard E chart (refraction)
    • A physical inspection of your eyes
    • A measurement of the pressure in your eyes
    • Administration of dilating drops in both of your eyes
  • At this point you will be asked to return to the waiting room while the dilating drops take affect. It usually takes about 40 minutes for your eyes to reach full dilation. Full dilation is required in order to provide the best possible view of your entire retina.
  • Once full dilation is achieved you will be escorted by one of the technicians to another exam room to be examined by the doctor.
  • We will review with you the information gained from your interview with the technician
  • The doctor will examine your eyes. This may include reclining you in the exam chair. The doctor will use a fairly bright light to illuminate the back of your eye where your retina is located.
  • During your exam the doctor will be dictating information to the technician who is present during the appointment. They will discuss with you their findings and advice and answer questions you may have regarding this information.
  • The doctor may advise further diagnostic testing or procedures; these may be performed at this visit or at a future visit depending on the urgency required.

Due to the full dilation of your eyes, driving may be difficult and we highly recommend that you have someone else drive you home after your appointment. We advise that you bring a dark pair of sunglasses to wear after your appointment.

Forms are available online to complete and return to our office, as well as directions to our office. 

What to bring to our office for your appointment:

  • Completed paperwork
  • Your current insurance card(s), and drivers license
  • Your co-pay, deductible, or any non-covered service is due at the time of your visit. We do not bill for it, we accept cash, check and most Major Credit Cards
  • Also, any referral information if it is required by your insurance company. Remember that if you do not obtain the necessary referral information before your appointment, your insurance company may not cover the visit
  • A list of current medications and dosages
  • A list of medical procedures with dates performed (approximate)
  • Dark sunglasses

A note about canceling and rescheduling appointments:

We understand that emergencies do happen, but if you need to cancel your appointment you will need to call the office 24 hours prior or you will be charged a $25.00 no show fee.