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Online Forms

At Eastgate Optometry Care, 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. See below for download link.
  • Download the required form below. Print out the form and complete the required information.
  • Fax your printed and completed form to our office or bring them with you to your appointment.

Patient Welcome Form

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.

Patient Welcome Form


Download the Free AdobeReader®

New Patients Receive 15% OFF Second Pair of Complete Glasses!

Contact Us

Office Hours

Monday:

10:00am – 7:00pm

Tuesday:

10:00am – 7:00pm

Wednesday:

10:00am – 7:00pm

Thursday:

Closed

Friday:

9:00am – 6:00pm

Saturday:

9:00am – 4:00pm

Sunday:

Closed