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Online Forms

At Family Vision Care Optometry, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Download & Print Form 


Our Financial Policy-Required

Please complete this form as it explains our financial policy.

Download & Print Form


Notice of Privacy Practices

As a patient in our office you are entitled to know about the new HIPAA or notice of privacy practice laws.

Download & Print Form


Authorization to Release Form

Download & Print Form


Download the Free AdobeReader®

Contact Us

We look forward to hearing from you.

Location

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Hours of Operaton

Monday:

8:00 am-12:00 pm

1:20 pm-5:00 pm

Tuesday:

8:00 am-12:00 pm

1:20 pm-5:00 pm

Wednesday:

8:00 am-12:00 pm

1:20 pm-5:00 pm

Thursday:

8:00 am-12:00 pm

1:20 pm-5:00 pm

Friday:

8:00 am-12:00 pm

closed

Saturday:

Closed

Sunday:

Closed