New Offices Now Open in the Philadelphia Navy Yard & Reading - We are scheduling new and existing patients.

Request an Appointment

Mid Atlantic Retina looks forward to you joining our family of satisfied patients.


New Patient Forms

For your convenience, new patients can complete all necessary paperwork via our online portal, prior to their first appointment. Click the link below.

If you prefer, you may print and complete the forms to bring with you to your first appointment, or our office will provide the forms and you can complete them once you arrive for your appointment. If you plan to complete forms at the office, we recommend that you arrive 15 minutes early to your appointment.


Other Patient Forms

Please bring the following with you on the day of your appointment:

  • Completed registration forms
  • Current insurance cards
  • Co-pay for specialists as noted on your insurance card
  • Referrals from your primary care physician if your insurance requires one in order to see a specialist. (NOTE: Without a proper referral, payment will be due at the time of the office visit.)
  • A list of medications and eye drops that you are currently taking
  • If you usually wear contact lenses, please wear your glasses instead. If you must wear your contact lenses, please bring your own case and lens solution.
  • A valid photo identification card
  • Your eyes will be dilated for the examination. Dilation may cause blurry vision or light sensitivity. We recommend bringing sunglasses. If you do not have sunglasses, disposable sunglasses are available at the front desk.

About your office visit:

  • Expect that your eyes will be dilated for the examination. The dilation effect often lasts for several hours. We recommend having someone drive you.
  • Your eyes will be dilated for the examination. We recommend bringing sunglasses. If you do not have sunglasses, disposable sunglasses are available at the front desk.
  • Your visit may last between 1 and 3 hours depending on the type of evaluation and whether additional testing and treatment are necessary.
  • Diabetic patients should have a snack on hand.

If you have any questions either about Mid Atlantic Retina or your care, you have the right to obtain help and information in your language at no cost. Click here for more information.