Call our vision center 615-933-7544,

Eyecare Plus
Eyecare Plus
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    • Home
    • Schedule an Appointment
    • Products and Services
      • Dry Eye
      • Vision Exams
      • Frames
    • Patient Portal
      • Bill Pay
      • Patient Portal
      • Patient Forms
      • Check on Eyeglasses Order
      • Express Check-In
    • Providers
    • Specials
    • Careers

Call our vision center 615-933-7544,

  • Sign In
  • Create Account

  • Orders
  • My Account
  • Signed in as:

  • filler@godaddy.com


  • Orders
  • My Account
  • Sign out


Signed in as:

filler@godaddy.com

  • Home
  • Schedule an Appointment
  • Products and Services
    • Dry Eye
    • Vision Exams
    • Frames
  • Patient Portal
    • Bill Pay
    • Patient Portal
    • Patient Forms
    • Check on Eyeglasses Order
    • Express Check-In
  • Providers
  • Specials
  • Careers

Account


  • Orders
  • My Account
  • Sign out


  • Sign In
  • Orders
  • My Account

Patient Forms

Please print and fill out these forms before arriving at the office for your exam. Please Note that if a Minor is having an Exam, A Parent or Legal Guardian must sign the consent form and be with the minor at time of appointment as well. 

Thank You. 



Also bring the following with you.

  • Driver License
  • Vision Insurance Card
  • Medical Insurance card
  • List of Medications


Downloads

Patient Demographic (pdf)Download
Patient History (pdf)Download
Notice of Privacy Practices (pdf)Download
Medical Insurance and policy (pdf)Download
Minor Consent Form (pdf)Download
  • Dry Eye
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  • Bill Pay
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  • Check on Eyeglasses Order
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Eyecare Plus

615-933-7544

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