To request an appointment, please call us or fill out the form below.
Dr. Jack Schwartz, OD
Pleasant Plaza
1341 Route 9, Suite 10
Toms River, NJ 08755
(732) 649-1199
Monday: | 9:30am - 5:00pm |
Tuesday: | 9:30am - 5:00pm |
Wednesday: | 9:30am - 5:00pm |
Thursday: | 9:30am - 5:00pm |
Friday: | 9:30am - 5:00pm |
Saturday: | By Appointment |
Sunday: | Closed |
To request an appointment, you can call us or fill out our form and a member of our staff will be in touch with you.
Below are the Medical History and Privacy Policy forms you'll need to complete on your first visit. You can expedite matters by downloading these forms, completing them at home and handing them to our staff when you arrive for your initial visit to our office.
Patient History Form
HIPPA Form
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.