Patient Forms

Forms


 

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)

 

OTHER FORMS

  • Patient Portal Consent Form
  • Medical Records Release Request – ($25 Charge)
  • MVA Vision Screening Form – ($25 Charge) – In order for our office to complete this form patients must have an up-to-date eye exam (within the last year) with Shady Grove Ophthalmology. If it has been more than 1 year since your last eye exam with us, please contact our office to schedule an eye exam to complete the MVA form (301) 279-0600.  Please note: There is a 2-week turnaround time for the completed MVA form.

Our Practice

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.

Our Patients Say It Best...

Dr. Roberts and his staff are amazing!!!!

"Dr. Roberts and his staff are amazing!!!! From my 1st call to make an appointment to my post-op cataract appointment, he and his staff were helpful, friendly and patient. I am so happy to have found Dr. Roberts. After many years of blurry vision, he totally corrected it. This office was a true find. I would absolutely recommend Dr. Roberts."

- Karol W.

My experience was phenomenal...

"My experience was phenomenal, all the staff is friendly. Dr. Roberts treated me well, was very helpful in explaining the process. I would highly recommend anyone to Dr. Roberts. Thank you for giving me a new view of life."

- Henry

I highly recommend Dr. Roberts...

"I highly recommend Dr. Roberts he did an excellent job on my LASIK surgery!"

Manuela G.

20/20 vision restored one day after surgery...

"Dr. Roberts was wonderful. I was treated for a cataract which had significantly reduced vision in my right eye. Dr. Roberts walked me through what to expect with the surgery beforehand. The surgery was completely painless and took less than 30 minutes. I now have my pre cataract 20/20 vision restored one day after surgery. I can highly recommend Dr. Roberts and his team!"

Robert H.

Dr. Roberts was incredibly knowledgeable...

"Dr. Roberts was incredibly knowledgeable and accommodating through my LASIK evaluation, procedure, and post-op. I would absolutely recommend him."

Rayon

Dr. Anthony Roberts is a great doctor...

"Dr. Anthony Roberts is a great doctor-competent and friendly. His office staff is courteous and accommodating. I had cataract surgeries in both my eyes with laser and could not be more satisfied! I highly recommend Dr. Roberts."

Rakesh Bansil, M.D.

The office staff was so professional...

"The office staff was so professional and courteous and the doctor was very reassuring about post-operative progress so happy with results!"

Suzanne T.

I am very satisfied...

"I am very satisfied with the fantastic surgery work of Doctor Anthony Roberts. I didn’t feel any pain at all during and after the surgery., Now, everything is sharper and no blur and no glare. I will really recommend him to friends & family. I will ask him to do my right eye! Thank you so much, Dr. Roberts."

Alphine R.

I can see better than I have in years...

"Dr. Roberts did cataract surgery on my left eye and I can see better than I have in years. The procedure was so quick and easy. The surgery center was great Dr. Roberts is very professional yet friendly and easy to talk to. His office staff is excellent. I never had a problem getting an appointment and have never waited long in the office."

Jane G.

Dr. Roberts’ a very warm and easy going doctor...

"Dr. Roberts’ a very warm and easy going doctor. He did my LASIK procedure and then followed up with me that night to make sure everything was ok. I would definitely recommend him to anyone that wants LASIK done. Thanks, Dr. Roberts!"

Wendi C.

Cataract surgery with Dr. Roberts and couldn’t be more satisfied with results...

"Had cataract surgery with Dr. Roberts and couldn’t be more satisfied with results, my vision was 20/20 already the day after surgery. Was impressed that Dr. Roberts followed up the evening after surgery with a phone call to see how I was doing. Would highly recommend Dr. Roberts for his professionalism and use of latest technology. The office staff is also professional, thorough and very helpful. Great overall experience."

Pete A.

I had a really positive experience at Shady Grove Ophthalmology...

"I had a really positive experience at Shady Grove Ophthalmology. I had PRK surgery. Dr. Roberts explained the process and walked me through everything during the surgery. He even called me on a Sunday evening to follow-up with me making sure I was feeling okay after the surgery. The front office staff was also friendly. I definitely recommend Dr. Roberts!"

- Sharon C.

The outcome exceeded my expectations...

"I can't say enough about how professional, knowledgeable and kind Dr. Roberts is. I had cataract surgery and was nervous about the procedure. He immediately put me at ease when he explained the process and assured me that it would go well. I felt comfortable asking him questions and he answered them with a great amount of respect, understanding, and patience. The outcome exceeded my expectations. I also loved and appreciated his caring staff. I highly recommend Dr. Roberts. Super grateful for the excellent work he does!"

Robin G.