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Online Forms

At Resident Eye Care Associates, 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. Don't worry, it's completely free and secure. Click here to download.
  • Next, complete the required information and print out the forms.
  • Finally, fax over your printed and completed forms to our office or bring them with you to your next 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 you have regarding your eye health or vision on the form.

Download & Print Form



Location

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Office Hours

Monday:

9:00 am-7:00 pm

Tuesday:

9:00 am-7:00 pm

Wednesday:

9:00 am-7:00 pm

Thursday:

9:00 am-7:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

By Appointment Only

Sunday:

Closed