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Patient Forms 

Welcome to Essential Vision Care and our Patient Forms area. These files are available to help you prepare for your next visit with us. We are frequently updating our website and this forms area. Check back soon for additional patient forms, or CONTACT US TODAY >

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New Patient Form

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Record Release Form

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IEP Eye Exam Report

Essential Vision Care is dedicated to providing exceptional comprehensive vision care for you and your family.

ABOUT EVC

THE TEAM

SERVICES

PRODUCTS

COMMUNITY

APPOINTMENTS

PATIENT PORTAL

CONTACT US

OFFICE HOURS
Monday : 8:30 a.m. – 5 p.m.
Tuesday : 8:30 a.m. – 5 p.m.
Wednesday : 8:30 a.m. – 12 p.m.
Thursday : 8:30 a.m. – 5 p.m.
Friday : 8:30 a.m. – 5 p.m.

Closed daily for lunch
from 11:45 a.m. – 12:45 p.m.

patient portal

Essential Vision Care. |. PH: (330) 332-1200
389 N. Ellsworth, Salem, OH 44460
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