Patient Forms

FAMILY EYE CARE WELCOME SHEET

Please print and complete this sheet and bring with you for your visit to Family Eye Care.

Familyeyecareintakeform.pdf
File Size:	105 kb
File Type:	pdf

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Contact Us
Family Eye Care
Klutts Medical Building
1433 Emerywood Drive
Charlotte, NC 28210
Phone: 704.553.2020
Fax: 980.299.2150

Office Hours
Monday 8:30 am - 5:00 pm
Tuesday 8:30 am - 5:00 pm
Wednesday 8:30 am - 5:00 pm
Thursday 8:30 am - 5:00 pm
Friday 8:30 am - 5:00 pm
Closed every day 12-1 for lunch

Notice of Privacy Practices
Website by Eyefinity

patient forms

FAMILY EYE CARE WELCOME SHEET