The Maloney-Shamie Vision Institute is an Authorized FDA Study Center for vision correction technology.
New Patient Forms
The following forms can be downloaded to your computer and printed at home. Carefully preparing these forms in advance will greatly increase the efficiency of your Consultation and the information it provides you.
- New Patient Questionnaire (select one)
Please review the following form. You do not need to print it. We will have a copy for you to sign in our office. If you have any questions, our staff will be happy to answer them in advance of your appointment.
If you are interested in our privacy practices, click below:
Implantable Contact Lens (ICL)
Iridotomy Preparation Guide (pdf 15 KB)
Iridotomy Aftercare Instructions (pdf 16 KB)
LRI Preparation Guide (pdf 14 KB)
LRI Aftercare Instructions (pdf 20 KB)
Pingeucula Pterygium Preparation Guide (pdf 14 KB)
Pingeucula Pterygium Aftercare Instructions (pdf 19 KB)
RLE Preparation Guide (pdf 20 KB)
RLE Aftercare Instructions (pdf 22 KB)
Verisyse Preparation Guide (pdf 18 KB)
Verisyse Aftercare Instructions (pdf 19 KB)
Yag Preparation Guide (pdf 15 KB)
Yag Aftercare Instructions (pdf 16 KB)
Parking Options in Westwood (pdf 16 KB)
Schedule a Consultation today! Find out if you are a candidate by calling or emailing today.
Want to see it all, without your glasses? To schedule your Complimentary Consultation, call us at or click here to schedule an appointment online.