Premier Eyecare Center
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Patient Forms

New Patient Form
File Size: 258 kb
File Type: pdf
Download File

Medical Information Release Form
File Size: 425 kb
File Type: pdf
Download File

Digital Retinal Photography
File Size: 25 kb
File Type: pdf
Download File

Privacy Notice
File Size: 27 kb
File Type: docx
Download File

Lifestyle Questionnaire
File Size: 32 kb
File Type: doc
Download File

Contact Us
742 North Market, Suite A
Waterloo, IL 62298
Phone: 618-939-4040
Fax:  618-939-3903
​premiereyecare@icloud.com
​
Office Hours
Mon    8:30 am - 5:30 pm
Tue     Noon - 7:00 pm
Wed    8:30 am - 3:30 pm
Thu     8:30 am - 5:30 pm
Fri       8:30 am - 12:30 pm
Notice of Privacy Practices
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  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Promotions
  • Eye Care Articles
  • Links
  • Location