At Regional Eye Center, 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 AdobeReaderĀ® 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.
  • For an appointment you need ONLY 3 FORMS: Patient Information, Consent for Pupil Dilation and Protected Health Information and Contact Lens Fee Agreement.

Patient Information

Download & Print Form

Request Release of Medical Records Form

Download & Print Form

HIPAA Privacy Policies

Download & Print Form

Contact Lens Fee Agreement 

Download & Print Form 

Consent for Pupil Dilation And Patient Protected Health Information

Download & Print Form


Download the Free AdobeReaderĀ®

Hours of Operation

Our Regular Schedule

Monday

8:15 am - 5:00 pm

Tuesday

8:15 am - 5:00 pm

Wednesday

8:15 am - 5:00 pm

Thursday

8:15 am - 5:00 pm

Friday

Closed

Saturday

Closed

Sunday

Closed

Monday
8:15 am - 5:00 pm
Tuesday
8:15 am - 5:00 pm
Wednesday
8:15 am - 5:00 pm
Thursday
8:15 am - 5:00 pm
Friday
Closed
Saturday
Closed
Sunday
Closed

Location

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