Online Forms

At Crystal Clear 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.
  • 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

Download & Print Form


New Patient Registration Form – Required

Download & Print Form


Download the Free AdobeReader®

Locations

Find us on the map

Hours of Operation

Our Regular Schedule

Canton Location

Monday:

9:00 am-5:00 pm

Tuesday:

Closed

Wednesday:

9:00 am-5:00 pm

Thursday:

Closed

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Hazlehurst Location

Monday:

Closed

Tuesday:

9:00 am-4:00 pm

Wednesday:

Closed

Thursday:

9:00 am-4:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed