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Online Forms

At Image 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 AdobeReaderĀ® 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.

Patient History Form

Download & Print Form

HIPAA Privacy Policy

Download & Print Form

Health Plan Disclosure

Download & Print Form

Contact Lens Policy

Download & Print Form


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Location

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Hours of Operation

Our Regular Schedule

Las Vegas Office (702) 435-6527

Monday:

10:00 am-6:00 pm

Tuesday:

10:00 am-6:00 pm

Wednesday:

10:00 am-6:00 pm

Thursday:

10:00 am-6:00 pm

Friday:

9:00 am-3:00 pm

Saturday:

9:00 am-3:00 pm

Sunday:

Closed

Henderson Office (702) 749-6967

Monday:

Closed

Tuesday:

10:00 am-6:00 pm

Wednesday:

10:00 am-6:00 pm

Thursday:

10:00 am-6:00 pm

Friday:

9:00 am-3:00 pm

Saturday:

9:00 am-3:00 pm

Sunday:

Closed