Register Online

At Mind-Body-World Optometry, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • Please download and fill out all needed forms.
  • Please contact our Administrative Support Team, to determine which forms you will need. [email protected]. 914-874-1177.
  • Our current forms are fillable:  You may download forms, save them with your name, and return them to us via secure email to [email protected].
  • You may also print the forms to complete by hand, and return them via fax (914-885-1463) or scan/email to [email protected].
  • If completing by hand: Please remember to bring originals with you to the first appointment.

Fillable & Printable Forms:

New Patient Health History Form, Basic, Adult

New Patient Extended History Form – Children

New Patient Extended History Form – Adult

Record Release

Quality of Life Questionnaire

Educator's Checklist

Report Request

Adults with Strabismus Questionnaire

Brain Injury Visual Symptom Survey

InfantSee Intake

Directions via Public Transportation / train schedule / bus 20/21 schedule

HIPAA Privacy Policy

Download & Review Form


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Administrative Office Hours

Exams By Appointment Only


10:00 am-6:00 pm


10:00 am-6:00 pm


10:00 am-6:00 pm




10:00 am-6:00 pm


By Appointment




Reviews From Our Satisfied Patients

  • "Dr Slotnick is a great optometrist. I brought my three year old to her and had my own exam. She connected with my son wonderfully and was very attentive to us both. Caring doctor with a great sense of humor. Thank you!"
    Lenny K.
  • "Dr. Slotnick always goes the extra mile when evaluating my eyes. Her knowledge, care, and skill set over the years have been impeccable!"
    Jeff Pinto, primary care patient for 7 years
  • "Dr. Slotnick is one of the brightest behavioral optometrists in the nation. She has a wealth of knowledge and caring and will do an excellent job for your child."
    Dr. David Cook
  • "Bright person, great optometrist, always has a smile on her face."
    Dr. Josef Thiel