RHODE EYELAND | Stop & Shop Plaza, 74 Frenchtown Road, North Kingstown, RI 02852 | PHONE  401-262-0042 | FAX  401-262-0140 | info@rhodeeyeland.com

Please fill out the appropriate patient forms and bring to your visit or email us a copy at info@rhodeeyeland.com.

Due to COVID-19, our office is requesting all patients to email us a copy of the completed patient forms prior to the visit or to bring the completed forms on the day of the visit. In addition, please email us a copy of your insurance cards (front and back). Our email is info@rhodeeyeland.com. 

PATIENT FORMS

When you visit the office please remember to bring:


  • A driver’s license or photo ID
  • Your insurance cards
  • Referral form
  • Copay as required by your insurance
  • Completed patient forms
  • A list of your current medications
  • Eyeglasses, liked and disliked, and contact lens information​