Online Forms

At VisionSmith, 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 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

HIPPA form

Download & Print Form


Location

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Hours of Operation

Monday

9:00 am

5:00 pm

Tuesday

11:00 am

7:00 pm

Wednesday

Varies - Check Google Listing

Thursday

11:00 am

7:00 pm

Friday

7:00 am

2:00 pm

Saturday

Varies - Check Google Listing

Sunday

Closed

Closed

Monday
9:00 am 5:00 pm
Tuesday
11:00 am 7:00 pm
Wednesday
Varies - Check Google Listing
Thursday
11:00 am 7:00 pm
Friday
7:00 am 2:00 pm
Saturday
Varies - Check Google Listing
Sunday
Closed Closed