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GLENVIEW IS MOVING! Our new location is at 191 Waukegan Rd, Ste 120, Northfield, IL 60093, from March 1st.
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Midwest Dry Eye Center Patient Forms

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Complete Your Dry Eye Care Forms Ahead of Time

We encourage you to complete your forms before your appointment to make your visit as efficient as possible. You can fill them out on your phone or using the Form Filler app. If you run into any trouble, especially with mobile devices, we suggest switching to a desktop for a smoother experience.

Please remember that processing online forms can take up to 24 hours, so complete them well before your appointment.

Appointment Request Form

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New Patient Registration Form

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Ocular Health Questionnaire

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Dry Eye Speed Questionnaire

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Accessible Eye Care for All

We accept various vision insurance plans and offer flexible financing options to ensure you can receive the care you need without financial stress. We aim to make quality eye care available to all families in Long Grove and Northfield by offering solutions that fit different budgets so everyone can enjoy better eye health and clear vision.

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  • Medicare
  • Aetna
  • Humana
  • United Healthcare PPO Only
  • Blue Cross Blue Shield Illinois

Meet The Optometric Team

Todd Cohan, O.D.
Dr. Todd Cohan, O.D.
Todd Cohan, O.D., earned his Doctor of Optometry degree from the Illinois College of Optometrists (ICO) in 2001. In 2007, he opened his private...
Meet Dr. Cohan
Jacqueline Cozzone, O.D.
Dr. Jacqueline Cozzone, O.D.
Jacqueline Cozzone, O.D., is dedicated to serving patients of all ages in the Long Grove community. She earned her bachelor’s...
Meet Dr. Cozzone
Emily Pott, O.D.
Dr. Emily Pott, O.D.
Emily Pott, O.D., is passionate about providing comprehensive eye care for patients of all ages, focusing on specialty contact lenses and pediatric eye care. She...
Meet Dr. Pott
Dr. Judith Lee, O.D.
Dr. Dr. Judith Lee, O.D.
Judith Lee, O.D., provides compassionate care to patients of all ages, with a particular interest in pediatric optometry and myopia management. Dr. Lee earned her bachelor’s...
Meet Dr. Lee
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WE COULDN'T HAVE SAID IT BETTER
9 months ago
My dry eye treatment experience was fantastic, from the time I checked in and throughout the entire process. Jenelle was a calming and gentle voice, and I also really appreciated her knowledge of the treatment. She walked me through the entire process every step of the way, and it was quick and easy. I highly recommend Dr. Cohan and his phenomenal staff, and I trust them implicitly with my eye care.
- Ronna B.
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Call Long Grove

847-496-9520

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Call Northfield

847-443-5694

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Appointment Request Form

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