Consultation Request
Patient Information
Insurance Information
Dilation Information
Health History

Financial Policy
Consent to Treat Minor
Acknowledgment of Privacy Practice
Authorization to Disclose Health Information
Order Contacts
Medication Refill Request
Dry Eye Questionnaire

From the list above, please click on the form you would like to complete and submit to the office!

If you want paper forms, Please call or email office!

OFFICE HOURS

Mon

9:00 - 5:00

Tue

9:00 - 5:00

Wed

Closed

Thu

9:00 - 5:00

Fri

9:00 - 5:00

Sat

9:00 - 12:00

Sun

Closed

Tallmadge Vision Clinic

384 Northeast Ave.
Tallmadge, OH 44278

(330) 633-9190

Tallmadge Vision Clinic 384 Northeast Ave. Tallmadge, OH 44278 Phone: (330) 633-9190 Fax: (330) 633-6899

Tallmadge Vision Clinic proudly serves Tallmadge, OH and the surrounding areas of Cuyahoga Falls, Akron, Kent, Stow, Munroe Falls, Brimfield, Rootstown, North Hill, Hudson, Streetsboro, Ravenna, Lakemore, Merriman Valley and Mogadore.

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