Long Island Ophthalmology with Dr. Jindra - Serving New York City

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For more information, or to schedule an appointment for consultation or SLT cold laser glaucoma surgery at our practice, please fill out the contact form below. Dr. Jindra and the staff are more than happy to address any concerns you may have.

Dr. Lawrence F. Jindra
5 Covert Ave
Floral Park, New York 11001
United States of America

Ph / +1.516.616.1710


Documents and Forms

New Patient Documents and Forms

Thank you for your attention and personal initiative in providing FPO with essential information for the management of your eye care and the well being of your vision. Please review the following instructions to assist you in completing the forms.

Patient Demographic and Medical History Forms

Present Medication

New Patient Appointment Confirmation

HIPAA Acknowledgement

Patient Responsibility for Payment

Release of Medical Records

Pharmacy Form

Laser Surgery

Cataract Surgery Pre-Post Instructions

Laser Iridoplasty Pre-Post Instructions (LIP)

Laser Peripheral Iridotomy Pre-Post Instructions (LPI)

Posterior Laser Capsulotomy Pre-Post Instructions (PLC)

Selective Laser Trabeculoplasty Pre-Post Instructions (SLT)

Miscellaneous Documents

HIPAA Privacy Notice

Directions to our Office