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(708) 331-3553

At South Holland Vision Center, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Download & Print For/clients/12554/documents/forms.pdfm


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Exclusive Offer

Sign-up using the form or call us at (708) 331-3553 to learn about our exclusive offers!

Office Hours

DayMorningAfternoon
Monday9am-12pm1pm-5pm
Tuesday9am-12pm1pm-5pm
Wednesday9am-12pm1pm-7pm
ThursdayClosedClosed
Friday9am-12pm1pm-5pm
Saturday8am1pm
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9am-12pm 9am-12pm 9am-12pm Closed 9am-12pm 8am Closed
1pm-5pm 1pm-5pm 1pm-7pm Closed 1pm-5pm 1pm Closed

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