Optometry Forms

Due to the ongoing COVID-19 public health emergency, our Eye Care Department has changed our hours of operation.

The optometry department is in operation from 8 AM–5 PM Monday–Friday. If you need to schedule an in-person or telehealth appointment with an optometry provider for either a new issue or for follow-up of an existing condition, please do not hesitate to contact our Optometry Line at 617.927.6190. We are still open for business and we are here to serve you. Whenever possible, please do not walk in to the health center to request services.

Optical Shop
The optical shop is in operation from 9 AM–5 PM Monday–Friday. Due to physical space limitations of our optical department, we ask that you do not walk-in to request services. If you are in need of any optical related services please contact our Optical Line at 857.313.6581 and we will schedule an appointment for you.

Important Information for New and Returning Fenway Eye Care Patients

We are committed to providing the highest quality, comprehensive eye care for our patients in a comfortable, caring, and compassionate environment. On this page, you’ll find useful forms for new and existing optometry patients.

Are You a New Patient?

If so, please download and fill out the following forms before your first appointment.

Are You a Returning Patient?

Please fill out these forms before your appointment if you haven’t already done so this calendar year.  In order to keep our records up-to-date, we ask that you complete this form once per year.



Optometry Fax


Ansin Building

1340 Boylston Street
Boston, MA 02215

Eye Care Hours

6th Floor
8:00 AM–5 PM

Optical Shop Hours

1st Floor
9 AM–5 PM


Contact Lenses

If you are a Fenway Health eye care patient, you can order contact lenses online here.

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