Patient Information

Vision Care & Therapy Center Patient Forms

Simple Click the button to download a PDF file of the form required for your appointment. Once you’ve completed your form(s) please fax to 678-256-3995, prior to your appointment or bring it with you.  (If you don’t have the Adobe Reader App installed on your computer; please click here.)

Adult Eye Exam Form

Adult Questionnaire

Child Questionnaire

Child Extended Questionnaire

Rehab Questionnaire


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