Huntley Eye Care, L.L.C.
Huntley Eye Care, L.L.C.

ALL PATIENTS COMPLETE - Annual Consent Form

Due to COVID-19, for the safety of our patients and staff, we are requesting all patients with appointments to complete the "Annual Consent Form" and submit it back to the office before the day of your appointment.

 

We are hoping this will limit the exchange of paperwork between patient and staff; therefore, lowering any risk for our patients and staff. Thank you for your cooperation during this unprecedented and difficult time.

 

Click link below to complete Annual Consent Form online (Please remember to click submit at the end of the form):

NEW PATIENTS COMPLETE - Secured Online Patient Registration Form

Below is the link to our secured online registration forms that you will need to fill out before you have your eye examination. We realize that filling out forms is never enjoyable, but the information is critically important to us so that we may provide you with a more personalized eye care experience. Please answer completely, truthfully, and honestly so that we may provide you with the eye care you deserve.

 

You may complete the online registration forms in our office fifteen (15) minutes before your scheduled appointment, but it is much preferred to complete them online at your leisure. If you have multiple family members that need eye examinations, filling out the forms at home will greatly help our staff when your family arrives for their appointments. Simply complete the forms online and when you arrive let our our staff that you have already completed them online, and we can begin your eye examination process in a more timely manner.

 

Click on link below to complete our SECURED patient registration forms online!

Office Forms for Patient Review

Below are the links to our office Financial Agreement and HIPAA Policies for our patient's review. You may print out a copy for your records.

Record Release Authorization From

Please use the form below if you need records sent to our office (from your previous eye doctor) or if you are requesting a copy of your records from us (to be sent to another office).

Patient Registration

Complete our patient registration forms online.

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Office Hours

Our office hours are:

 

Sunday: Closed

Monday: 9:00 am - 6:00 pm

Tuesday: 9:00 am - 6:00 pm

Wednesday: 9:00 am - 6:00 pm

Thursday: 9:00 am - 6:00 pm

Friday: 9:00 am - 2:00 pm

Saturday: Closed

Contact Us

Huntley Eye Care
11809 East Main Street
Huntley, IL 60142

 

Phone: (847) 515-2030

 

Email: inquiry@huntley-eyecare.com

 

Or just use our contact form.