Your first visit to our office establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect from your first visit to our practice, please read through this page.
We are dedicated to the diagnosis, treatment, and management of all eye diseases. We strive to provide our patients with an accurate diagnosis to maximize proper vision and minimize any eye disease and discomfort. You, as our patient, will always receive our full attention, the latest technology during your examination, and the highest professional standard and ethics in an atmosphere that is professional, pleasant and relaxing.
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.
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.