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Online Forms

At Villa Park Optometry, 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 Fill up form below:

Patient Form


Order Contact Lenses Online

Please Fill up form below:

Order Contact Lenses Online Form


Download the Free AdobeReader®

Location

Our Hours

Monday:

9:00 am-1:00 pm

2:00 pm-5:30 pm

Tuesday:

9:00 am-1:00 pm

2:00 pm-5:30 pm

Wednesday:

9:00 am-1:00 pm

2:00 pm-5:30 pm

Thursday:

9:00 am-1:00 pm

2:00 pm-5:30 pm

Friday:

9:00 am-1:00 pm

2:00 pm-5:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "Best optometrist in the area, on time, friendly staff, thorough eye exams. Good location in Villa Park Ralphs center. Plus good parking."
    Charlie R.
  • "Best optometrist in the area"
    Kelleywise D