Online Forms

At Rice Family Vision, 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.
  • 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


Download the Free AdobeReader®

Location

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Hours of Operation

Monday

8:00 am - 5:00 pm

Closed 12:00 PM to 1:00 PM for lunch

Tuesday

8:00 am - 5:00 pm

Closed 12:00 PM to 1:00 PM for lunch

Wednesday

8:00 am - 5:00 pm

Closed 12:00 PM to 1:00 PM for lunch

Thursday

8:00 am - 5:00 pm

Closed 12:00 PM to 1:00 PM for lunch

Friday

8:00 am - 5:00 pm

Closed 12:00 PM to 1:00 PM for lunch

Saturday

Closed

Sunday

Closed

Monday
8:00 am - 5:00 pm Closed 12:00 PM to 1:00 PM for lunch
Tuesday
8:00 am - 5:00 pm Closed 12:00 PM to 1:00 PM for lunch
Wednesday
8:00 am - 5:00 pm Closed 12:00 PM to 1:00 PM for lunch
Thursday
8:00 am - 5:00 pm Closed 12:00 PM to 1:00 PM for lunch
Friday
8:00 am - 5:00 pm Closed 12:00 PM to 1:00 PM for lunch
Saturday
Closed
Sunday
Closed