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WELCOME!

FIRST VISIT WITH US?

We look forward to meeting you!

Fill out the form below, or if you prefer, you can download a PDF form to print and fill out a hard copy.

New Patient Questionnaire
Our mission is to provide the best comprehensive eye care for you and your entire family. We are family eye care at its best.

© 2022 by Premier Family Vision Care

12131 S. Harlem Ave.
Palos Heights, IL 60463

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708-550-2020 | Fax: 708-505-8583

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premierfamilyvisioncare@gmail.com

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