Name: Ohio Ophthalmology
Address: 618 Pleasantville Rd, Suite 204, Lancaster, Ohio, 43130
Telephone: (740) 687-6902
Price range: $

Patient Forms

Our offices are located at: 618 Pleasantville Rd, Suite 204, Lancaster, Ohio, 43130 and 680 Buckles Court North, Suite 2B, Gahanna, Ohio, 43230.

To help us better serve you:

Please complete and submit all the online forms below on each tab prior to your appointment, or download each form, print, complete and bring with you to your appointment.
Please bring your insurance card(s), photo ID and co-payment if required.

Your eyes may be dilated. We advise that you have someone to drive you home from your appointment. We recommend that you bring a pair of sunglasses with you to your appointment.

Please call (740) 687-6902 with any questions or concerns regarding this appointment.

Patient Information

Would you prefer to print out your form to complete the details?

Download Form

Notice of Privacy Practice

Would you prefer to print out your form to complete the details?

Download Form

Financial Policy

Would you prefer to print out your form to complete the details?

Download Form

Medical History

Would you prefer to print out your form to complete the details?

Download Form

Patient Profile

Would you prefer to print out your form to complete the details?

Download Form

Patient Center

Patient Forms

Patient Information

Would you prefer to print out your form to complete the details?

Notice of Privacy Practice

Would you prefer to print out your form to complete the details?

Financial Policy

Would you prefer to print out your form to complete the details?

Medical History

Would you prefer to print out your form to complete the details?

Patient Profile

Would you prefer to print out your form to complete the details?

Office Contacts

Site Links

Patient Center

Patient Forms

Patient Information

Would you prefer to print out your form to complete the details?

Notice of Privacy Practice

Would you prefer to print out your form to complete the details?

Financial Policy

Would you prefer to print out your form to complete the details?

Consent For Medical Treatment

Would you prefer to print out your form to complete the details?

Medical History

Would you prefer to print out your form to complete the details?

Patient Profile

Would you prefer to print out your form to complete the details?

Office Contacts

Site Links