Pediatric & Adult Ophthalmology
Specialty Eye Care With A Family-Friendly Approach



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Motor Vehicle Accident No-Fault Forms

There are TWO forms that all patients with a motor vehicle accident no-fault claim are required to complete for our office.  Please download and print each form and fill in all required information.  Bring the completed forms with you to your appointment. 

These forms will require Adobe Acrobat (free program) to open, view and print them.

MVA No-Fault Information Form

NYS FORM NF-AOB (Rev 1/2004)

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Copyright© 2006 ~ Peter S. Schwartz, MD
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DISCLAIMER: This website is not intended to substitute for a personal visit with a licensed ophthalmologist or other medical professional.