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Feel free to print and fill out our Patient Registration and History Forms below and bring them with you to your appointment. If you have any questions please give us a call.
Patient_Registration___History0001.PDF
224.5 KB
HIPAA_Notice_of_Privacy_Practices.pdf
84.2 KB
Vision_v_Medical_Insurance.pdf
12.0 KB
(You will need Adobe Acrobat Reader available for free here:
http://www.adobe.com/products/reader/
in order to view and print the above PDF forms.)
Call for an appointment
Deeds Family Vision Care
11139 County Road 1
Chesapeake, OH 45619
(740) 867-4411
(888) 820-1666
We are located approximately 1 mile west from the 6th Street Bridge on
County Road 1 (Old US 52) across from Jill's Tumble World.
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