Patient Forms
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For your convenience, we have made a number of forms available for patients to download. If you are new to our practice, we encourage you to download and print out the new patient forms. Filling these out in advance of your first visit will minimize the time you spend in the waiting room filling them out when you get here. Other forms are informational. If your doctor has given you a form with specific information or instructions different from the information on these online forms, rely on the information given to you by your doctor, not on the online forms. If you're not sure which forms you need, please call (724) 485-9091 for assistance or click here to email us.

If you're unable to open these files, you probably need to download the free Adobe Acrobat Reader program, which is available at the following location: www.adobe.com/products/acrobat/readstep.html

Click on the forms you would like to download:

DOCTORS
·  John J. Martinelli OD
·  John R. Martinelli OD, FAAO
·  Alejandro Molina OD
·  Alethea Rivera-Molina OD
·  Michael Rom MD
·  Mark Mayle MD
·  Daniel C. Vittone MD
EMAIL NEWS UPDATES
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PAYMENT OPTIONS
·  Flexible Spending Accounts
·  Affordable Payment Plans
·  Martinelli LASIK Bank
·  Martinelli Vision Plan
LINKS
·  We have links to several other sites that may help you
APPOINTMENTS
· Schedule a consultation with our doctors. Tell us when you would like to visit.
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CONTACT US

Martinelli Eye & Laser Centers - Charleroi
303 First Street • Charleroi, PA 15022
Phone:(724) 485-9091  Click Here to Email


Martinelli Eye & Laser Centers - Uniontown
630 Cherry Tree Lane
Uniontown, PA  15407
Phone: (724) 680-0039  Click Here to Email

 
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