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Online Forms

At Ardmore Premier 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 AdobeReaderĀ® 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

HIPPA Release Form

Patient Insurance Form

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 the Free AdobeReaderĀ®

Location

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Office Hours

Our Regular Schedule

Monday:

8:00 am-5:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

  • "Professional friendly service."
    Tonya B.
  • "Beautiful clinic, friendly staff, and Dr Parker was great!"
    Abby M.
  • "Everyone was very polite and personable. Very little wait time. Like the reminders about my appointment date and time."
    Bobby O.
  • "Greatest bunch of employees. Always so polite and caring. You have made this terrible ordeal with my eye bearable. Thanks for everything. Dr parker, you are the best!!!!"
    Regena S.