Appointment Request

The first step towards better vision is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

Patient Information

Patient Availability

Reason For Visit

NOTE: Messages sent using this form are not considered private.  Please contact our office by telephone if sending highly confidential or private information 

Once you have set up your consultation appointment with us, we ask that you print out our patient forms and bring it with you to your visit.



New Patient Forms

This saves you time in the office and also helps us provide you with a faster service.

Patient Registration Form - This form allows us to get demographics and other important information such as current medications and surgical history.

Financial Responsibility Form - This form explains our office policies. Please note that copays, deductibles, coinsurances, refraction fees, and any unpaid balance is due at the time of check in. Please keep this form for your records.

HIPAA Authorization Form - This form authorizes us to protect your health insurance information and allows us to use your information to better care. You can also use this form to elect a representative for you. (To help schedule appointments, etc.)

Patients, would you be interested in signing up to our Free Patient Portal? With the Patient Portal, you can:

  • Request an appointment
  • Send messages to our practice

If you'd like to take advantage of this efficient tool, please contact our office and we will gladly provide you with the necessary information. You will receive a confirmation email from the Patient Portal that looks like this. 

 Along with your filled out forms, please also bring:

  • Insurance card(s)
  • Insurance referral (Kindly call your insurance company to determine if you require a referral from your primary doctor to see a specialist.)

Incredible! The staff and doctors are just beyond brilliant. Kind, friendly, patient, informative. I couldn't ask for better and I don't think better exists. Absolutely would recommend to everyone without hesitation. Thank you all for everything.
L

Lucy H. | May, 2024
5 year update.
As a former -10 diopter glasses-wearer, the team here gave me the freedom live life. No more nagging concerns of 'Do I have enough contacts?' or 'How will I wear my glasses while doing _________?'. Going through my 20s without glasses is amazing!
Thank you for the ICL surgery! I am grateful every single day.
A

Allison M. | February, 2024

Dr. Tseng recently removed a pterygium from my husband’s eye and the surgery went very well. Unfortunately a week later my husband developed an unexpected ulcer with severe inflammation in the same eye. Dr. Tseng was extremely attentive with a calm and caring demeanor. He met us in their office after hours twice to make sure my husband was taken care of. We are thankful the eye is healing properly.
B

Brigid M. | November, 2023
Dr. Pramanik noticed an eye problem that others didn’t. He solved it. Also gave me a chance to upgrade my lens for cataract surgery.
He was very patient, and understanding of my needs, and now I can see just great!
His staff was so friendly, knowledgeable, and easy to reach.
I HIGHLY RECOMMEND ALL OF THEM!!
M

Marla F. | July, 2023
My 21 year old son suffered a very traumatic eye injury when part of a firework hit him directly in the eye. After his initial surgery at Shock Trauma we transferred over to Dr. Pramanik on the advice of a friend. Thank God we did. He and his entire team, including the wonderful Dr. Vickery, have worked tirelessly over the past year to not only SAVE my son's eye but to bring back some vision. He has had multiple issues pop up and they deal with them immediately and always ensure a pain-free environment. We still have a ways to go, but I 100% believe that without Dr. P and his amazing team, my son would have lost his eye. They treat us with respect and kindness and they truly do care.
R

Rebecca B. | July, 2022
I'd just like to take the opportunity to commend you all for the outstanding service at Mid-Atlantic Cornea. I am a new patient, having seen Dr. Pramanik and Dr. Bell.
From sign-in until check out and in every encounter in between with the staff and doctors, you are a warm and welcoming, efficient and skilled group of professionals. At my age, I see more doctors than I care to mention and I know that offices vary widely in patient interaction protocols.
Many medical-surgical practices certainly have skills, but not many exhibit the friendliness and attention to patient interaction, efficiency, and a very obvious concern for the patient that Mid-Atlantic does.
J

Jeff W. | February, 2022
Dr. Bell and all of the staff are friendly and care about you eyes and want to help. They go above and beyond to make sure you are comfortable with their care and to get you feeling better prior to leaving each appointment. So happy I made the switch to Dr. Bell!
C

Chris K. | July, 2021
Ready for your first appointment?