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(814) 266-8840

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865 Eisenhower Blvd. Johnstown, PA

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(814) 266-8840

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Phone:

Address:

865 Eisenhower Blvd.
Johnstown, PA 15904

Hours

M:

T - F:

S:

12pm - 8pm

8am - 4pm

Open 2 Saturdays a month. Call for specific dates.

(814) 266-8840

Forms

If you would like to cut down on the amount of paperwork that you will have to do when you arrive at our office, print out the forms you need below. You can fill them out at your convenience and then bring them with you to your appointment.

Click on a form to view and then download or print it. You may also right-click a form and select “save link as” or “save target as” to download it.

Remember: Never transmit or attach any sensitive medical and/or personal information via email. These forms are intended to be printed and delivered to us by you personally.

Patient Information Form

Use this form to provide us with information about yourself and/or your child(ren) prior to your first visit with us.

Medical History Form

Use this form to share yours or your child(ren)’s medical history with us.

vision_care_specialists_pt-info_2017.pdf vision_care_specialists_med-history_2017.pdf

Record Release

Use this form to authorize the transfer of private health information from and to Vision Care Specialists.

Record Release - 2016.pdf