Patient Forms

At Victor Eyecare, we value your time. In an effort to save you time in our office, you can print out and complete our patient forms prior to your appointment.

  • You will need AdobeReader® to access the forms.  Below is a link for downloading Adobe Acrobat Reader.
  • Print out the forms and fill in all required information.
  • Bring your completed forms with you when you come for your appointment, or fax them to us in advance to 623-977-9007.

Download & Print the following forms:

Patient Registration

Medical History

Privacy Practices

Patient Questionnaire


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Victor Eyecare

Office Hours Monday - Friday 8:00 am - 4:30 pm

Hours of Operation

623-977-9000

Victor Eyecare Office Hours

Monday - Friday:

8:00 am - 4:30 pm

Saturday, Sunday:

Closed