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Online Forms

At EYEZONE OPTICAL, 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


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Location

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Hours of Operaton

Our Regular Schedule

EYEZONE, Jean Orehek, O.D.​

Monday:

9:00 am-7:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-4:00 pm

Thursday:

9:00 am-7:00 pm

Friday:

9:00 am-6:00 pm

Saturday:

9:00 am-4:00 pm

Sunday:

Closed

Testimonial

  • "I walked into this place today after work without an appointment and was treated like a long standing customer/patient. The staff is very knowledgeable and professional in addition to being delightful. This is my new spot for eyeglasses and contact lenses. Check them out. Ya'll know what a pistol I am about my eye care."
    Mary B.
  • "It was a rather refreshing experience due to the superb customer experience."
    Jerry C.