Patient Info Form

If you are scheduled for an appointment in our office, print and complete this form and bring it with you. Please be thorough, as this information is used by the doctor to manage your care, and by the bookkeeper to bill your insurance(s) appropriately and minimize any out of pocket expense.

Download the form now.

Close this window

  • Our practice specialty lies in the treatment and management of degenerative corneal conditions like Keratoconus. Using our in-office laboratory and expertise, we are able to offer distinct advantages to the Keratoconic patient, which will translate to optimal visual acuity and comfort.

    Keratoconus Treatment

  • Are there any alternatives for correcting vision besides refractive surgery? What if we could non-surgically change corneal shape in a controlled manner while the patient sleeps, resulting in excellent visual acuity during waking hours without the use of glasses or daytime contact lenses? We can!

    Corneal Reshaping

    • My husband Steve and I have been patients since 1986. Our vision has always ben clear and stable, and we are now wearing bifocal contact lenses. We highly recommend and trust these Doctors and their staff.

      - Susan T.
    • Thank you for your 15 years of fabulous service to my family and me! I love seeing all of you…Pam, Dr. R, Dr. L., Fred, etc. etc. (wonderful staff). You’re like family. Thanks again for your kindness!

      - Patty G.
    • I wore glasses and soft contact lenses for over 25 years and searched for an option that would give me freedom from glasses. Dr. Buffington introduced me to corneal refractive therapy. It gave me just the freedom I wanted. I now use my CRT lenses only three times per week and my vision remains stable.

      - Melissa B.
    • Dr. Buffington’s sincere commitment to providing the best possible care along with the assistance of his right hand Debbie, was second to none. When Dr. B chose to slow down and added Dr. Rembleski as his colleague, it quickly became very apparent why he chose him.

      - Jeff H.
    • I always recommend the office to my family, friends and co-workers. If Dr. Rembleski and staff can custom fit contacts for me, they can custom fit most anyone for contacts.

      - Vicki P.