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If this is a medical emergency,
please call 911 or go to the nearest emergency room.

Servicing Chicago and Surrounding Areas

Patient Information

To provide our patients with the best care possible, we request that they fill out two forms so we can better understand the condition of their health.

These forms are located on this page in PDF format. To download them for your use, just click on the link. Please fill out the forms completely, then bring them to us during your first appointment.

Patient Information Form

Download PDF (56 KB)

Patient History Form

Download PDF (40 KB)

Patient Consent Form

Download PDF (40 KB)

Medical Records Release Form

Download PDF (40 KB)

Need to schedule an appointment?

Please send us your information and we will contact you to set up an appointment.

Hours of Operation

Office hours at Gerstein Eye Institute are by appointment only and may change week-to-week based on the surgeons schedule. However, in general, our hours are as follows:

  • Monday: 8 AM - 4 PM
  • Tuesday: 8 AM - 4 PM
  • Wednesday: Closed
  • Thursday: 8 AM - 4 PM
  • Friday: 8 AM - 3 PM
  • Saturday: 8 AM - 12 PM

The office closes daily from 12-1pm