Online Forms

At Modern Eyecare, 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.
  • 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 Intake Form – Required

Please complete this form as it gives us more information required for all new patients. 

Download & Print Form


Download the Free AdobeReader®

Hours of Operation

Monday

Closed

Tuesday

Closed

Wednesday

10:00 am - 6:00 pm

Thursday

10:00 am - 6:00 pm

Friday

10:00 am - 6:00 pm

Saturday

10:00 am - 3:00 pm

Sunday

Closed

Monday
Closed
Tuesday
Closed
Wednesday
10:00 am - 6:00 pm
Thursday
10:00 am - 6:00 pm
Friday
10:00 am - 6:00 pm
Saturday
10:00 am - 3:00 pm
Sunday
Closed

Location

Inside LensCrafters