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Patient Forms

Because we know your time is valuable, please fill out these forms and bring them to the appointment with you. If you have any questions, fill out as much as you can and we will be happy to assist you when you arrive.

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Primary Correction


Patients Ocular History
(please check the following that apply, or "None")

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Family Ocular History
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Patient Medical History
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Family Medical History
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Social History

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Review of Systems

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  • “In my opinion, Envision Eyecare Center is the Cadillac of all Eyecare Centers. I first wore glasses when I was in the seventh grade (56 years ago) so I have seen and been to many, many Eyecare Centers (in OH and in Tucson) over the years. I thank you so much for your thoroughness and caring. I plan to recommend your Eyecare Center to family and friends soon.”– Linda K

  • “Very fine and we already have recommended a person who gave excellent feedback.” – Doris C

  • “I have always received wonderful care from the Dr. and staff. I have recommended Dr. Barry several times although I do not know if the individuals followed up with your office. I always have positive feedback about my visits.”– Natalie

  • “You’re all doing a great job!”– JG

  • “We have already recommended you several times! We couldn’t be happier with the entire staff!”– JW

525 W Wetmore Rd Tucson, AZ 85705 | Directions | (520) 293-2363