2020 EYE CARE
Give us a call:
​678-339-0423
Type Size: A A A
  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Promotions
  • Eye Care Articles
  • Financing
  • Location

Patient Forms

New Patient Form
File Size: 42 kb
File Type: pdf
Download File

This form allows us to gather your medical history so that we are able to meet all your vision needs.
Current Patient Form
File Size: 9 kb
File Type: pdf
Download File

Welcome Back! Please fill this form to update your information if you are an existing patient at our practice.
Dilation Form
File Size: 42 kb
File Type: pdf
Download File

New and current patients- please fill this form out for pupil dilation. This is included in your comprehensive exam at no extra charge.
Privacy Practices Policy
File Size: 35 kb
File Type: pdf
Download File

New and current patients- please sign this form. (The HIPPA policy can be found on the bottom of this page.)
Contact Lens Wearer Policy
File Size: 9 kb
File Type: pdf
Download File

New and current patients- please complete form if you would like to have a contact lens fitting exam.
Contact Us
10945 State Bridge Road, Suite 306
Alpharetta, GA 30022
Phone: 678-339-0423


Office Hours
Mon    8:30 am - 4:30 pm
Tue     8:30 am - 4:30 pm
Wed    Closed
Thu     10:00 am - 7:00 pm
Fri       8:30 am - 2:00 pm
Sat      Closed
Sun     Closed
Notice of Privacy Practices
Website by Eyefinity