Patient Information

Patient Information

Our staff is friendly and always ready to help with scheduling, insurance or anything else you may need during your time with us. For your convenience, we provide the following information:


To schedule an appointment at one of our Eyes First Vision Center locations in Monmouth County, NJ and Ocean County, NJ, please call 866-EYESFIRST (393-7347)or the phone number of the location nearest you (found on the Locations page). You can also use our our online appointment request form by clicking here:Request an Appointment.

If at any time you are unable to keep your appointment, please notify us at least 24 to 48 business hours in advance. We will be glad to reschedule your appointment at a more favorable time. We greatly appreciate your time and consideration and look forward to seeing you.

Patient Form

This is for new and existing patients. This needs to be completed only one time. All subsequent visits will be updated by office staff.

The form below can be printed and filled out before you arrive for your appointment. This will save you time on your first visit.

Medical History Questionnaire for the Bricktown, Manahawkin, Matawan, Lakehurst/Manchester and Toms River offices

New Welcome Form for the Eatontown, Hazlet, Middletown, Red Bank and Sea Girt offices. This form can be filled out on line for your convenience.

(click on welcome form)


Below is a list of some the most popular insurance plans with which Eyes First Vision Centers is listed as a provider. We are continually signing up with new insurance plans, so If you do not see your insurer listed below, please contact the office nearest you to verify if we are listed as a provider.

...and many others.

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  • "Glasses came in a week as promised. Entire process took maybe 20 minutes. Highly recommend you check them out."
    Reginald B. / Eatontown, United States
  • "First timer to eye exams and glasses. The service was excellent. The staff was enjoyable."
    Anthony P. / Toms River, United States
  • "Dr Gershenow is a wonderful doctor. I recommend him to my family and friends"
    Debbie Natale Povlich