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704-817-3800 H
H

704-817-3800

Online Forms

At Blink Eye Care, 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 
Please bring a list of your current medications


Download the Free AdobeReader®

Request an Appointment

Sign-up using the form or call us at 704-817-3800 to make your appointment today!

Office Hours

DayOpenClose
Monday8:30 AM5:00 PM
Tuesday10:00 AM5:00 PM
Wednesday8:00 AM5:00 PM
Thursday9:00 AM6:00 PM
Friday8:30 AM5:00 PM
SaturdayClosedClosed
SundayClosedClosed
Day Open Close
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30 AM 10:00 AM 8:00 AM 9:00 AM 8:30 AM Closed Closed
5:00 PM 5:00 PM 5:00 PM 6:00 PM 5:00 PM Closed Closed