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Online Forms

At Advanced Eyecare Specialists, 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


Notice of Privacy Practices

HIPPA


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New Patients Receive 15% OFF Complete Pair of Eyeglasses. (Can Not Be Combined With Insurance Benefits)

Sign-up using the form or call us at 508-444-8691 to take advantage of this exclusive offer

Monday:

9AM - 12PM

1PM - 5PM

Tuesday:

10:00am

4:00pm

Wednesday:

9AM - 12PM

1PM - 5PM

Thursday:

10:00am

4:00pm

Friday:

9AM - 12PM

1PM - 5PM

Saturday:

9:00am

3:00pm

Sunday:

Closed

Closed