VISIONARY EYECARE
  • Home
    • About Us
    • Inside our Office
    • Directions to Our Location
  • Services, Insurance and Payments
    • Comprehensive Exams for Glasses and Contact Lenses
    • Medical Services and Procedures
  • Patient Forms
    • Privacy Practices
    • Eyecare Articles

Secure Online Forms

Save time during your appointment by completing our patient forms online. Login or create your account below to begin. 

Paper Patient Forms.

Please click below on the New Patient Paperwork and fill out the following patient information forms and bring them with you to your appointment.  Please be sure to read our Privacy Practices.  Your signature may still be needed at the time you check-in. 
New Patient Paperwork

    Web Survey

Submit
Location info...
840 Glynn St S, Suite 344
Fayetteville, GA 30214

Phone: 770-716-7414
Toll Free: 866-977-6022
Fax: 770-716-7498
Email Us
Hours
Mon & Weds 9:00-6:00
Tues & Thurs. 9:00-5:00
Fri. 8:00-4:00
We are closed from 12:30-1:00 for Lunch.
Saturdays-  By appointment only
Call us for any scheduling questions.

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Notice of Privacy Practices.
Website by Eyefinity
  • Home
    • About Us
    • Inside our Office
    • Directions to Our Location
  • Services, Insurance and Payments
    • Comprehensive Exams for Glasses and Contact Lenses
    • Medical Services and Procedures
  • Patient Forms
    • Privacy Practices
    • Eyecare Articles