Please download, print and complete the appropriate forms prior to your appointment.
Please remember to bring all completed forms to your appointment.
If you have any questions regarding any of the forms please contact our office and our staff will be very happy to answer any questions you may have. You can reach our office at (301) 279-0600.
Patient Forms – (Click the appropriate form to download)
- New Patient Form Packet
- New Patient Form Packet (Spanish version – Version en español)
- Cataract Surgery Patient Form Packet
- LASIK Surgery Patient Form Packet
- PRK Surgery Patient Form Packet
- Prokera Patient Form Packet
- Refractive Lens Exchange Patient Form Packet
- Patient Portal Consent Form
- Medical Records Release Request – ($20 Charge)
- MVA Vision Screening Form – ($15 Charge) – (This form can be submitted online during your office visit)
At Shady Grove Ophthalmology, we understand the importance of your vision. Dr. Anthony O. Roberts is committed to using some of the most advanced technology available for vision correction, cataract removal, and treatment of eye disease. With innovative laser systems, multi-focal intraocular lens implants, and state-of-the-art techniques for cataract surgery, Dr. Roberts aims to give all of our patients the safest, most effective eye treatments. Our entire office staff prides itself on delivering personalized premium quality eye care to all our patients.
Financing for Vision Care
Shady Grove Ophthalmology offers patient financing for procedures such as LASIK, cataract surgery, eye exams, glasses and contact lenses, through the CareCredit program. This flexible financing allows for low monthly payment options, and no up front costs or pre-payment penalties. CareCredit allows our patients to chose the right choice for their vision needs.
Schedule an Appointment
Contact our office to schedule an appointment or consultation with Dr. Anthony O. Roberts
Shady Grove Ophthalmology 9715 Medical Center Drive, Ste 502 Rockville, MD 20850
We speak English, & Español (Spanish), French, and Vietnamese.
Serving patients with quality eye care, corrective vision surgery, diabetic evaluations and glaucoma treatment in the following communities: Rockville MD, Gaithersburg MD, Potomac MD, Germantown MD, Bethesda MD, Chevy Chase MD, Montgomery Village MD, Olney MD
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