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Patient Forms

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

  • You will need AdobeReaderĀ® to download and complete the forms.
  • Download the required form. Print out the forms and complete the required information.
  • Fax your printed and completed forms to our office at 623-977-9007 or bring them with you to your appointment.

Download & Print the following three forms:

Patient Registration

Medical History

Privacy Practices


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We look forward to hearing from you.

Victor Eyecare

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

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About Victor Eyecare

image of eye glasses on an eye chart.

At Victor Eyecare, each member of our vision care team is selected by Dr. Warren Victor based upon his or her experience, professional demeanor, and dedication to providing personalized care to our ophthalmology patients.

Our staff is committed to ensuring the comfort and satisfaction of each and every patient. We will do our best to accommodate your busy schedule by finding appointment times that meet your needs.

We know that you have a choice when it comes to West Valley ophthalmologists, and we strive to provide you with the expert eye care you deserve.