online forms

At Perceptions Eye Health & Wellness, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring a printed copy to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s), print it out and fill in the required information.

  • Fax or email us your completed form(s) or bring it with you to your appointment.

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Roya1234 none 9:00 AM - 4:00 PM 9:00 AM - 5:00 PM 9:00 AM - 5:00 PM 9:00 AM - 5:00 PM Closed Closed Closed optometrist https://www.google.com/search?biw=668&bih=654&sxsrf=ALeKk01QWetK2TOI8dlpgVNxVryFT_-zLQ%3A1587169514183&ei=6kiaXq7jCoz4-gTV7LuICQ&q=perceptions+eye+health%2C+nc&oq=perceptions+eye+health%2C+nc&gs_lcp=CgZwc3ktYWIQAzIGCAAQFhAeMgYIABAWEB46BAgAEEc6AggAUMwvWLY2YNE3aABwAngAgAFqiAHpApIBAzMuMZgBAKABAaoBB2d3cy13aXo&sclient=psy-ab&ved=0ahUKEwiugN2Y2_DoAhUMvJ4KHVX2DpEQ4dUDCAw&uact=5#lrd=0x14e1a30c39f4fc35:0x387c96c114d8ac49,1,,, # https://www.facebook.com/pg/perceptionseyehealth/reviews/?ref=page_internal