3121 S. Park Avenue, Herrin, IL 62948 | 1241 E. Walnut St., Carbondale, IL 62901 | 202 E Clark St. West Frankfort, IL 62896(618) 94-BLINK (942-5465) /

Patient Forms & Resources

Complete Family Eyecare is your Southern Illinois eye care center that strives to offer the best possible eye care for each and every patient. Part of this goal includes making eye care convenient for you and your family. For your convenience, we have created several forms and eye care resources to save you time at your next appointment.

New Patient Information Registration Forms

  • This form holds all of your important patient information, such as past ocular history, medical history, insurance, and more, as well as includes our office policies.

Eye Exam vs Contact Lens Exam

  • A routine eye exam is not the same as a contact lens exam. A contact lens exam differentiates because contacts need to fit the eyes properly and align with the health of the eyes. This form outlines the difference between a regular eye exam and a contact lens exam.

Records Release

  • This form allows you to give permission for your records to be released to the appropriate parties, should it be deemed necessary. You can specify what kind of information is to be released with with whom.

Southern Illinois Eye Care Center

We are a local Illinois eye care center that is here for you! Feel free to contact Complete Family Eyecare for any issues with the eye care resources listed above. Our hardworking professionals can be reached through our contact us page or Facebook. For more information on any of our products and services, check out our products and services page.

Office Hours

  • Monday8:00 – 5:00
  • Tuesday8:00 – 6:00
  • Wednesday8:00 – 5:00
  • Thursday8:00 – 5:00
  • Friday8:00 – 1:00
Emergency line(618) 942-5465
  • Monday8:00 – 5:00
  • Tuesday8:00 – 6:00
  • Wednesday8:00 – 5:00
  • Thursday8:00 – 5:00
  • Friday8:00 – 2:00
Emergency line(618) 942-5465
  • Tuesday8:00 – 5:00
  • Wednesday8:00 – 5:00
  • Thursday8:00 – 5:00
  • Friday8:00 – 5:00
Emergency line(618) 942-5465

Have questions about eyewear or appointments?

Our staff can help!
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