Online Forms

At Valley Vision Clinic & 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.

  • 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

Location

Office Hours

Monday

8:00 am - 12:00 pm

1:00 pm - 5:00 pm

Tuesday

8:00 am - 12:00 pm

1:00 pm - 5:00 pm

Wednesday

8:00 am - 12:00 pm

1:00 pm - 5:00 pm

Thursday

8:00 am - 12:00 pm

1:00 pm - 5:00 pm

Friday

8:00 am - 12:00 pm

1:00 pm - 5:00 pm

Saturday

By Appointment

Sunday

Closed

Monday
8:00 am - 12:00 pm 1:00 pm - 5:00 pm
Tuesday
8:00 am - 12:00 pm 1:00 pm - 5:00 pm
Wednesday
8:00 am - 12:00 pm 1:00 pm - 5:00 pm
Thursday
8:00 am - 12:00 pm 1:00 pm - 5:00 pm
Friday
8:00 am - 12:00 pm 1:00 pm - 5:00 pm
Saturday
By Appointment
Sunday
Closed