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.

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Vicki P.

My family and I have been with this office for over 25 years. My right eye has a growth which makes wearing contacts very challenging. Drs. Rembleski and Buffington were able to create custom lenses in the smallest diameter possible to ensure that the lens did not irritate the growth. 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.

Patients presenting with degenerative corneal conditions like keratoconus require customized care. Using our in-office laboratory, visual acuity and comfort can be optimized for the Keratoconic patient.

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

  • 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!

    - Paty G.

Testimonials