Online Forms

At Reinert Family 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 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 complete this form as it lets us know the history and current state of your health.

Download & Print Form


New Patient Information Form – Required

Please fill out this form completely. Let us know if you have any questions.

Download & Print Form


Download the Free AdobeReader®

Location

Map

Hours of Operation

Monday:

10:00 am-6:00 pm

Tuesday:

10:00 am-6:00 pm

Wednesday:

Closed

Thursday:

10:00 am-6:00 pm

Friday:

10:00 am-4:00 pm

Saturday:

10:00 am-4:00 pm

Sunday:

Closed

Testimonials

Reviews From Our Satisfied Patients

  • "Doc did great job definitely straighten out my vision. Doc is also a veteran. Thx for your service sir."
    Mahar M. via Facebook
  • "I had a great experience at Reinert Family Eye Care. I had to reschedule my appointment time the day of and they were very accommodating getting me in at my convenience. Very thorough and professional exam. I highly recommend."
    Greg D. via Facebook