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Patient Forms

Patient Registration

Please fill out the Patient Registration form and print out a completed copy to bring with you to your appointment.

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For over a decade, Wink Eyecare Boutique has continuously provided fashionable eyewear and comprehensive eye care in Potomac, MD. Not only has our eye doctor, Dr. Rachel Cohn & Dr. Jennifer Karmiol, helped patients of every age achieve healthy clear vision, but our team continues to bring expertise and unmatched care for anyone looking for an optometrist. For excellent eye care in Potomac, come to Wink!

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Wink Eyecare Boutique
1095 Seven Locks Rd
Potomac, MD 20854
Phone: 301-545-1111
https://www.wink.net

Policy Notice: If you fail to cancel your office appointment at least 24 hours ahead, or fail to show up for your scheduled appointment, you will be charged a “No Show Fee/ Cancellation Fee” of $80.

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Wink is open!

We will be taking extra precautionary measures to protect the health of both you and our staff, including:

Enhanced cleaning and disinfection of all surfaces
COVID-19 screening of all customers and staff
Temperature checks at the office door
Masks will be required
Added Merv 13 Air Filters

Disinfecting process for all frames
Added UV lights in the Ductwork for air sterilization
Contact lens & eyeglass ordering with direct patient shipment or curbside delivery

Hours | M-F 10am-6pm | Saturday 10am-4pm

301-545-1111 | drcohn@wink.net

PLEASE STAY HEALTHY AND SAFE