Online Forms

At Griswold Eye Care, we value your time. In an effort to save you time in our office, you can complete our patient form(s) prior to your appointment.

Fill out and submit the patient form(s) online OR download, print, complete and fax your form(s) to (860) 376-4821 or bring them with you to your appointment.


CONTACT LENS EVALUATION CONSENT FORM

Download & Print Form

COVID Screening Questions

Fill Out Online

OR

Download & Print Form

New Patient Form 

Fill Out Online

OR

Download & Print Form

Welcome Back Patient Form 

Fill Out Online

OR

Download & Print Form

Medical Record Release

Download & Print Form


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Location and Hours

8 N Main St, Jewett City, CT 06351

Monday  

8:30 am - 12:00 pm

1:00 pm - 4:30 pm

Tuesday  

8:30 am - 12:00 pm

1:00 pm - 6:00 pm

Wednesday  

8:30 am - 12:00 pm

1:00 pm - 6:00 pm

Thursday  

8:30 am - 12:00 pm

1:00 pm - 4:30 pm

Friday  

8:30 am - 12:00 pm

PM Closed

Saturday  

Closed

Sunday  

Closed

Location