Forms

To make your appointment run smoother, we encourage you to print your forms and fill them out at your convenience... we look forward to seeing you soon!

 

Patient Medical History Form
2021 Patient History Form.pdf
Adobe Acrobat document [158.3 KB]
Digital Retinal Photography Authorization
2021 Digital Retinal Photography Auth Fo[...]
Adobe Acrobat document [136.1 KB]
Patient Update Form
2020 Patient Update Form.pdf
Adobe Acrobat document [98.8 KB]
Release of Information Form - Vision Care PSC
Do you have records at another doctor's office you'd like for us to review before your appointment?
2020 Release of Information.pdf
Adobe Acrobat document [161.9 KB]
Notice of Privacy Practices
Please feel free to download and read our Notice of Privacy Practices
2021 NPP.pdf
Adobe Acrobat document [453.2 KB]

Contact Us

Vision Care PSC

78 Barnes Dr.

Monticello, KY  42633

(606) 348-3355

 

info@visioncarepsc.com

 

Monday: 8 am - 5 pm

Tuesday: 8 am - 6 pm

Wednesday: 8 am - 5 pm

Thursday: 8 am - 8 pm

Friday: 8 am - 5 pm

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Vision Care PSC
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