Form on Clipboard

Patient Forms

For your convenience, the necessary patient forms have been included below to be completed before your next appointment.  You may download, print and complete the forms before arriving at the office.

     The forms below include: 

  • "New Patient Form" for new patients (please complete all four pages)

  • "Established Patient Form" for established patients with updated information

All patient forms are also available at the office and may be completed upon your arrival. 


Health Insurance

Please call our office if you have any questions.

RO kindly reminds you to bring all of your insurance information and driver's license to your appointment.

We accept the following Health Insurance:






Community Giving

Ridgefield Ophthalmology has proudly supported the following organizations:

Screen Shot 2020-04-11 at 7.21.24 PM.png

Ridgefield Public Schools

Screen Shot 2020-04-11 at 7.34.01 PM.png

Run Like a Mother

Screen Shot 2020-04-11 at 7.16.45 PM.png

Boys and Girls Club of Ridgefield

Screen Shot 2020-04-11 at 7.22.36 PM.png

Founders Hall

Screen Shot 2020-04-11 at 7.26.41 PM.png

Ridgefield Chamber of Commerce

Screen Shot 2020-04-11 at 7.29.21 PM.png

Ridgefield Library

Screen Shot 2020-04-11 at 7.31.42 PM.png

Ridgefield Operation for Animal Rescue (ROAR)

Screen Shot 2020-04-11 at 7.40.33 PM.png

Locks of Love


Patient Testimonials


Thank you so much for the exceptional care you and your staff have given me and my family for routine and emergency eye care. Over the past year you’ve treated me and each of my three young children for various ailments, including eye infections, a scratched cornea, and surgical repair of facial lacerations. You provided the best of care in a comfortable and relaxed manner making difficult situations much more manageable. You have shown true dedication to your patients by being available evenings and holidays in order to provide emergency and ongoing care. I was amazed and immensely grateful when you delayed your family vacation so that you would be able to personally follow my son’s recovery from a scratched cornea. Thank you again for the excellent medical care you have provided to my family


Phone: (203) 894-9700

90 Grove Street, Suite 105, Ridgefield, CT 06877

©2020 by Ridgefield Ophthalmology

DISCLAIMER: Material on the Ridgefield Ophthalmology website is provided for informational purposes only. It is not a substitute for medical care, surgical care or educational consultation with a physician. The Ridgefield Ophthalmology website contains general information which may or may not apply to individual patients’ needs. Ridgefield Ophthalmology encourages all persons to seek professional medical or surgical advice for any specific questions and concerns.

Medical services include (but not limited to) comprehensive eye exams and routine check-ups, glasses and contact lens prescriptions, family eye care, diabetic eye care, macular degeneration screenings, glaucoma management and dry eye management.Eye plastic surgery includes (but not limited to) upper and lower blepharoplasty (lid lifts), ectropion/entropion (lid malposition) surgery, surgery for excessive tearing, ptosis repair, eyelid lesion removal, eyelid cancer removal and lid reconstructions.Cosmetic eye care includes Botox® for fine lines around the eyes, brows and forehead, as well as facial rejuvenation with Juvederm®. Serving Ridgefield, Wilton, Redding, Weston, Danbury, Bethel, Newtown, New Fairfield, Stamford, New Canaan, Greenwich, North Salem, South Salem, Lewisboro, Southeast, Brewster, Fairfield County, Westchester County, and Putnam County.