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Lake Ronkonkoma (631) 676-1774 Patchogue (631) 576-4118
 
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Home » Contact Us » Online Patient Registration Form

Online Patient Registration Form

Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.

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Memorial day

Sachem Eyecare will be closed Thursday, May 24 for an office training to better serve you. We will be closing on Friday, May 25 at 5:00 pm and be closed on Saturday, May 26 and Monday, May 28 in honor of Memorial Day. Happy Memorial Day!