Online Forms

Learn to See Vision Clinic Online Forms

At Learn to See Vision Clinic, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

PDF File
New Patient Form
Download
PDF File
Release Form
Download
PDF File
Background Information Form
Download
Helpful Resources
Is a hidden vision problem getting in the way?

You deserve answers to the debilitating symptoms holding you back.

Keep In Touch

Please contact us for a free phone consultation with Dr. Les. He’ll listen to your concerns and help you take the next steps.

Learn to See Vision Clinic
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Hours of Operation
  • Monday 8:00 am - 6:00 pm
  • Tuesday 8:00 am - 6:00 pm
  • Wednesday 8:00 am - 6:00 pm
  • Thursday 8:00 am - 6:00 pm
  • Friday 8:00 am - 6:00 pm
  • Saturday Closed
  • Sunday Closed
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • Sunday
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • Sunday

Best to call Dr. Les between 11:00 AM and 2:00 PM.
​​​​​​​Otherwise he may be with patients, but he'll return your message as soon as possible.
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