Optometry Forms

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 this form 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

6th Floor
1340 Boylston Street
Boston, MA 02215

Eye Care Hours

  • 8:00 a.m. – 7:00 p.m.
    Monday – Thursday
  • 8:00 a.m. – 5:00 p.m.

Optical Shop Hours

  • 9:00 a.m. – 7:00 p.m.
    Monday – Thursday
  • 9:00 a.m. – 5:00 p.m.


  • Dr. David Lampariello
    Clinical Director of Fenway’s Eye Care Department

Fenway Health Eye Care Services

  • Comprehensive eye exams
  • Eyeglass consultations, fittings and dispensing
  • Diagnosis, management and treatment of common eye diseases
  • Contact lens fittings, evaluations, and trainings, including specialty contact lenses
  • Co-management of laser vision correction
  • Co-management of cataract surgery

Contact Lenses

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