New Patients: Please download and complete the following forms prior to your visit:
Patients and Physicians: If you would like to refer someone to our practice, please fill out the appropriate form and THANK YOU in advance:
Amsler Grid:
Amsler Grid Test – Between eye exams, you can monitor your vision using a tool called an Amsler Grid. While focusing at the dot in the center, you may notice that the straight lines in the pattern appear wavy to you, or you may notice some lines are missing. Looking at an Amsler Grid on a daily basis will help you stay alert to any sudden changes in your vision.
To Use:
- If you wear glasses or contacts, make sure you are wearing them before you take the test.
- Position chart 14 inches away from your face (click HERE for printable version)
- Cover one eye with your hand.
- Focus on the dot in the center.
- Call our office if there is any change from your baseline the first time you took the test.
To apply to work at South Bay Retina, please complete the following application: