Online Forms

At Precision Family Eyecare, 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


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Precision Family Eyecare

Address

1115 N Henderson St,
Galesburg, IL 61401

Monday  

8:30 am - 5:00 pm

Tuesday  

10:00 am - 2:00 pm

Wednesday  

8:30 am - 5:00 pm

Thursday  

9:00 am - 6:00 pm

Friday  

8:30 am - 4:30 pm

Saturday  

9:00 am to 1:00 pm

Select Saturdays. Please call to confirm Saturday availability

Sunday  

Closed

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