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)
- New Patient Form Packet
- New Patient Form Packet (Spanish version – Version en español)
- Prokera Patient Form Packet
OTHER FORMS
- 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)
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. Anthony O. Roberts, Ophthalmologist
Dr. Anthony O. Roberts is proud to be the Official Ophthalmologist for the Washington Football Team.
Schedule an Appointment
Contact our office to schedule an appointment or consultation with Dr. Anthony O. Roberts
(301) 279-0600
NOTE: if you are unable to reach us by telephone, please use the chat feature here on the website to reach us immediately.
We speak English, and Español (Spanish)
Office Information
Shady Grove Ophthalmology
9715 Medical Center Drive
Suite 502
Rockville, MD 20850
Office Hours
Mon-Thurs 8:30 am – 4:30 pm
Friday 8:30 am – 3:30 pm
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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