Online Forms

At Wheaton Eyecare, 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 AdobeReaderĀ® to download and complete the forms.
  • 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.

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

Patient Advisory and Acknowledgement During COVID-19 - Required

Download & Print Form



Download the Free AdobeReaderĀ®

Contact Us

We look forward to hearing from you

Hours of Operation

Monday

10:00 am - 5:30 pm

Tuesday

10:00 am - 5:30 pm

Wednesday

10:00 am - 5:30 pm

Thursday

Closed

Friday

10:00 am - 5:30 pm

Saturday

10:00 am - 3:00 pm

Sunday

Closed

Monday
10:00 am - 5:30 pm
Tuesday
10:00 am - 5:30 pm
Wednesday
10:00 am - 5:30 pm
Thursday
Closed
Friday
10:00 am - 5:30 pm
Saturday
10:00 am - 3:00 pm
Sunday
Closed

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