Patient Registration Information

• Over 20 Years of Experience

• Using the Latest Techniques

• Emergency Appointments Available

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Patient Registry

Hours:

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Stay Ahead of the Crowd and Fill Out Our Form

Want to stay ahead of the crowd? Take a moment to fill out our patient registration information. At InFocus Eyecare, we encourage you to complete as much of the information as possible to save time and to help the doctor and staff be better prepared for your visit!

What You'll Need to Register

  • Personal demographic information
  • Health history information
  • Medication information


Please remember to bring your medical and vision insurance cards with you to the visit. If you have any questions about registration, please contact us at your convenience. Our staff will tend to all of your needs!

For forms that you can print out, fill out, and bring to our office, click the button below.

Print Forms Here

For our online patient registration use the button below.

Register Online Here

Professional Experience

Choose the optometrist whose experience you can trust every day. Your eyes are in good hands with us. Call (765) 662-3936 for an appointment today.

Register Before You Visit Us

Call for Additional Information

(765) 662-3936

(765) 662-3936

Learn More About

InFocus Eyecare

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