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At Southern Focus Vision 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 AdobeReader® 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.

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


HIPAA Form

This a consent form for the use and disclosure of patient information for treatment, payment, or healthcare operations

Download & Print Form

Download the Free AdobeReader®

Exclusive Offer

THIS ---->https://2056317700.imatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday9:00 AM5:00 PM
Tuesday9:00 AM5:00 PM
Wednesday9:00 AM5:00 PM
Thursday9:00 AM5:00 PM
Friday9:00 AM5:00 PM
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00 AM 9:00 AM 9:00 AM 9:00 AM 9:00 AM Closed Closed
5:00 PM 5:00 PM 5:00 PM 5:00 PM 5:00 PM Closed Closed

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