Patient Information

Patient Portal

Get secure, 24-hour access to your personal health information through Patient Portal, where you can view your medical records, current medications, appointments and more. If you haven’t already, contact us to create your account.
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Accepted Insurances

Most insurance plans accepted. Please contact us for more information.

Payment Options

For your convenience, we accept cash, check, Visa, Master Card, American Express and Discover. Financing is available through CareCredit.

Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

New Patient Registration

Patient Refraction Authorization Form

Telephone Consumer Protection Act



Your Visit

Your pupils may be dilated with eye drops during the exam. Dilating eye drops can blur your vision, especially your reading vision, for several hours. Due to dilating eye drops and bright lights shining in the eyes, your vision may be blurry when you are done the examination. If possible, we suggest that you have someone to drive you home.

Please allow plenty of time to receive all of the care you need for your eyes. Complete exams require dilation and take at least one and a half hours. Sometimes, additional testing is required which could lengthen your expected stay in the office.

Due to the unpredictable nature of caring for patients, please allow additional time for possible delays. It is very important to us to give every patient the care that they need even if it delays the schedule.

Please remember to bring the following items (if applicable):

  • Referral from primary doctor if necessary
  • Co-pay
  • Insurance card(s)
  • List of current medications
  • Eyeglasses
  • Contact lenses, solutions, cases, etc.
  • Any information that your doctor may have given you such as laboratory tests or handwritten notes
  • Any other information concerning your eye health, e.g. old records, test results, etc.

For those interested in additional information, we have selected a few web sites that we think you may find useful. Please note that the organizations that develop and maintain these sites are not directly affiliated with Coastal Jersey Eye Associates, and we have no control over the content of the sites.

Clicking on one of these links will open the site in a new window:
University of Iowa Library – This site was compiled originally on behalf of the Association of Vision Science Librarians by the Librarian at the University of Iowa Department of Ophthalmology and Visual Sciences. It contains a comprehensive directory of links to websites that contain eye information.
American Academy of Ophthamology – This site is operated by the American Academy of Ophthalmology.
U.S. National Library of Medicine – This site is operated by the National Institute of Health. It contains several health information databases.





The American Academy of Ophthalmology is the world’s largest association of eye physicians and surgeons. Their mission is to protect sight and empower lives by serving as an advocate for patients and the public, leading ophthalmic education,and advancing the profession of ophthalmology. See news and articles here >>