“The interests of the patient are the only interests that matter.”

Patient Information

In an effort to save you time, you can fill out the Patient Information Form, Patient Questionnaire Form, and (optional) Student Questionnaire Form in advance of your appointment.

  1. Click the links below to download the forms. Forms are in Adobe Acrobat format. (If your computer does not already have Adobe Acrobat, download it here.)
  2. Print the form, fill it out and
    Fax it back to us at: 480-367-6711 or
    just bring it in the day of your appointment.


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©2006-, Dr. Stephen Cohen Doctor My Eyes
All Rights Reserved
10900 N. Scottsdale Road • Suite #301
Scottsdale, AZ 85254 • 480.513.3937